Iliopsoas bursitis/tendinitis
Flexion and adduction
- Groin pain, may be caused by iliopsoas bursitis or iliopsoas tendinopathy
- Pain with passive flexion and simultaneous adduction in the hip joint (bursitis)
- Pain with isometric flexion (tendinopathy)
Iliopsoas bursa
Located over the femoral neck and under the M. iliopsoas
Differential diagnosis for unclear hip/groin pain
FABER (Patric’s) test
Flexion, Abduction, External Rotation
- The hip joint capsule and capsular ligaments (Lig. iliofemorale, pubofemorale, ischiofemorale) are less tight in flexion than in extension
- Utilize this by testing the hip joint in passive flexion and abduction and then assess reproduction of pain at the end point of external rotation
- Possible causes of pain
- Stretch on an inflamed M. iliopsoas or underlying iliopsoas bursa
- FAI (Femoral Acetabular Impingement) due to Cam (femoral head) and/or Pincer (acetabulum) morphology
- Injury in the labrum of the hip joint
- Free cartilage/bone fragment in the hip joint
- Osteoarthritis
- Lateral hip pain (Trochanteric tendinitis/bursitis)