Other Soft Tissue Pain Conditions

This is a case report of four professional soccer players who developed acute or sub-acute pain in the inguinal region. Work-ups for inguinal hernia or adductor tendinitis were negative. Physical examination revealed that hip flexion caused pain. All four patients had magnetic resonance image scanning [MRI]. All the MRI scans showed iliopectineal bursitis with signal abnormalities predominantly at the periphery of the psoas tendon which was in contact with the iliopectineal eminence. Two of the players were treated with ultrasound-guided steroid injection. The other players were treated with rest and oral anti-inflammatory medication. Treatments resulted in positive results. The more aggressive treatment, that is the ultrasound-guided injection into the iliopectineal bursa, allowed sporting activity to be continued soon after treatment. The other two patients, those who had conservative therapy, required more time to get back on the field. COMMENTS