Stark Joachim
Department of Geriatrics, Region Jönköping County, Jönköping, Sweden.
Department of Health, Medicine and Caring, Linköping University, Linköping, Sweden.
Arch Orthop Trauma Surg. 2021 Oct;141(10):1633-1637. doi: 10.1007/s00402-020-03523-2. Epub 2020 Aug 14.
This report aims to describe the epidemiology, clinical presentation, diagnostic workup, treatment, and rehabilitation, natural course, and possible risk factors of the rare entity spontaneous iliopsoas tendon rupture.
One case of spontaneous iliopsoas tendon rupture was encountered. The patient was followed during the hospital stay, her journal was later reviewed, and one telephone follow-up after 90 days was performed. Structured reviews of the literature in the PudMed and Micromedex databases were performed.
The patient recovered fully within 6 weeks of conservative treatment with small doses of acetaminophen and opioid. The literature reviews yielded 14 previously reported spontaneous iliopsoas tendon ruptures but no strong evidence regarding possible risk factors.
Spontaneous iliopsoas tendon rupture is a rare event, typically occurring in the elderly female. MRI is generally diagnostic, but signs are also often present on CT scans and sometimes even on plain X-ray. Conservative treatment has an excellent prognosis of full recovery within 6 weeks. The evidence on possible risk factors is scarce and conflicting.
本报告旨在描述罕见的自发性髂腰肌肌腱断裂的流行病学、临床表现、诊断检查、治疗、康复、自然病程及可能的危险因素。
遇到一例自发性髂腰肌肌腱断裂患者。在住院期间对该患者进行随访，随后查阅其病历，并在90天后进行了一次电话随访。对PudMed和Micromedex数据库中的文献进行了结构化回顾。
该患者在接受小剂量对乙酰氨基酚和阿片类药物的保守治疗后6周内完全康复。文献回顾发现了14例先前报道的自发性髂腰肌肌腱断裂病例，但关于可能的危险因素没有确凿证据。
自发性髂腰肌肌腱断裂是一种罕见事件，通常发生在老年女性中。MRI一般具有诊断价值，但CT扫描甚至有时平片上也常出现相关征象。保守治疗预后良好，6周内可完全康复。关于可能的危险因素的证据稀少且相互矛盾。
