Treatment of Recalcitrant Iliopsoas Tendinitis in Athletes and Dancers with Corticosteroid Injection under Fluoroscopy

Abstract

Corticosteroid solution was injected under fluoroscopy into the iliopsoas sheath in young dancers and other athletes to combat chronic exercise-induced iliopsoas tendinitis which had proven unresponsive to more conservative treatments. Ten outcomes were graded as “excellent,” three others as “good,” two as “fair,” and two were “poor.” These results suggest that the treatment is a viable alternative to the more radical surgical release of the tendon. It is hypothesized, however, that its effectiveness may depend in large part on proper post-operative management, designed to avoid recurrence of the injury by correcting the alignment problems and errors in technique that initially precipitated the tendinitis.