Lumbar Radiculopathy or Iliopsoas Rupture? A Rare Case of Iliopsoas Rupture Disguised as Lumbar Radiculopathy

Abstract

Isolated iliopsoas tears are a relatively uncommon cause of hip pain in adults. Making a diagnosis can be difficult, as it may be disguised by other common causes of hip pain, such as intra-articular pathology, sacroiliac joint dysfunction, and lumbar radiculopathy. This case illustrates a patient who presented with hip flexion weakness and decreased weight-bearing capacity who was eventually found to have an iliopsoas tear. This patient's situation is noteworthy because Patient chronic lumbosacral radiculopathy initially concealed the clinical presentation of patient iliopsoas rupture. A well-informed pain provider should consider the differential diagnosis of iliopsoas injuries in patients with hip pain that is refractory to conservative measures.