Endoscopic Iliopsoas Tenotomy for Iliopsoas Impingement on a Collared Femoral Prosthesis
Authors: Lindner D, Stake CE, El Bitar YF, Jackson TJ, Domb BG
DOI:https://doi.org/10.1016/j.eats.2013.02.008
Purpose:
Describe diagnosis and endoscopic treatment of iliopsoas impingement after total hip arthroplasty caused by a collared femoral prosthesis.
Methods:
Case report of a 51-year-old woman with persistent groin pain post-hip replacement treated with endoscopic iliopsoas tenotomy.
Key Findings:
Complete resolution of groin pain and mechanical symptoms within 3 months post-op.
Conclusion:
Endoscopic iliopsoas tenotomy is an effective minimally invasive treatment for iliopsoas impingement after hip replacement.
What This Means for Patients:
If you have groin pain after hip replacement, iliopsoas impingement may be the cause and can be treated successfully with a minimally invasive surgery.
What This Means for Providers:
Consider iliopsoas impingement in patients with post-THA groin pain and use endoscopic tenotomy as a safe, effective treatment option when conservative therapy fails.