PMC9422879_01
Anteroposterior (AP) X-ray of the hips demonstrating degenerative changes at the femoracetabular joint (arrow). There are no acute findings at the lesser trochanter (arrow head).
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X-ray of the hip demonstrated degenerative changes without any acute osseous findings at the lesser trochanter (Fig. 1).
Complete tear of the left iliopsoas tendon. (a) Coronal T2 fat-saturdated magnetic resonance imaging (MRI) of the left hip demonstrating the absence of the left iliopsoas tendon (arrow) at the lesser trochanter (LT) of the femur and presence of hyperintense oedema. The gluteus minimums (MIN) and gluteus medius (MED) can be seen in the coronal image attaching to the greater trochanter of the femur. The femoral head (FH) is visualized. (b) Axial T2 fat-saturated MRI view of the left hip demonstrates the absence of the iliopsoas tendon (white arrow) from the lesser trochanter (LT) of the femur.
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The MRI demonstrated a complete tear of the left iliopsoas tendon at the lesser tuberosity insertion, tendon retraction of approximately 5 cm (Fig. 2) with associated oedema and muscle oedema/strain of iliacus and psoas major (Fig. 3).