Atraumatic spontaneous Iliopsoas tendon rupture in elderly female. A rare case report from an Island country.

Abstract

Acute hip pain is a commonly encountered condition in elderly patients and can be debilitating depending upon the etiology. Most disabling acute hip pains in elderly are post traumatic and related to fracture. Atraumatic hip pain can be secondary to infection, malignancy, acute exacerbation of osteoarthritis or rarely due to iliopsoas tendon injury. Prompt diagnosis and management is extremely important especially in this vulnerable age group to maintain quality of life. Magnetic Resonance Imaging (MRI) is the gold standard for its diagnosis, but it has its own limitations. We present a rare case of isolated spontaneous left iliopsoas tendon rupture without associated avulsion fracture in an elderly patient which was initially picked up on plain Computed Tomography (CT) and further confirmed on MRI. She was successfully managed conservatively and could resume her normal routine activities.