SA Journal of Radiology
versão On-line ISSN 2078-6778
versão impressa ISSN 1027-202X
THOMPSON, Graeme. Painful snapping hip owing to bifid iliopsoas tendon and concurrent labral tear. S. Afr. J. radiol. (Online) [online]. 2015, vol.19, n.1, pp.1-2. ISSN 2078-6778. http://dx.doi.org/10.4102/SAJR.v19i1.741.
A case of internal snapping hip owing to a bifid iliopsoas tendon is described with a concurrent labral tear in a young active female. The labral tear was identified on magnetic resonance imaging, and the snapping bifid tendon on dynamic ultrasound. The patient was administered bupivicaine and steroid around the tendon and symptoms resolved. A snapping bifid tendon must be identified pre-operatively to avoid incomplete release. Labral repair may be accompanied by psoas release when psoas impingement is suspected owing to a labral tear at the 3 o'clock position in an otherwise normal hip.