A positive iliopsoas muscle test result is associated with which condition?

A positive iliopsoas muscle test result is indicative of conditions that involve irritation or inflammation of the iliopsoas muscle, which runs from the lumbar spine to the femur and plays an important role in hip flexion. In the context of acute abdomen, a positive test suggests possible conditions such as appendicitis or other intra-abdominal processes that may irritate the iliopsoas muscle.

The iliopsoas test typically involves the patient lying supine while the examiner grasps the leg and attempts to extend it at the hip. Pain elicited during this maneuver indicates inflammation or irritation potentially caused by pathologies occurring in the abdominal cavity, which could include appendicitis, diverticulitis, or other sources of acute abdominal pain.

Other conditions listed, while they could be associated with different types of pain or neurological signs, do not typically present with a positive iliopsoas muscle test. For example, a left cerebrovascular accident would manifest with neurological deficits rather than musculoskeletal symptoms, a urinary tract infection typically presents with dysuria and pelvic pain rather than isolated muscle pain, and heel fractures are related to trauma affecting the bone rather than abdominal pathology. Therefore, the acute abdomen is the most appropriate and relevant association with a positive ili