An Iliopsoas Impingement Lesion in the Absence of Painful Internal Snapping May Not Require Iliopsoas Fractional Lengthening
Authors
Meghpara MB, Bheem R, Diulus SC, Rosinsky PJ, Shapira J, Maldonado DR, Lall AC, Domb BG
DOI: 10.1177/0363546520944147
Background
Iliopsoas impingement ( IPI ) can cause pain and mechanical groin symptoms, and may require surgical treatment, including iliopsoas fractional lengthening ( IFL ). This study examines whether IPI lesions without painful internal snapping require IFL.
Methods
Patients with IPI lesions diagnosed during hip arthroscopy were studied. Those with and without painful internal snapping were compared in terms of hip function and recovery, with data collected after a minimum of 2 years.
Key Findings
Patients without painful internal snapping ( PIS ) who had an IPI lesion and did not undergo IFL had similar outcomes to those who underwent IFL for PIS.
Both groups showed significant improvements in hip scores and patient satisfaction after surgery.
Conclusions
If you have an IPI lesion without painful internal snapping, you may not need IFL. The absence of snapping does not appear to affect surgical outcomes, and other treatments can be considered.
What Does This Mean for Patients
If you have an iliopsoas impingement but don't experience painful internal snapping, you may not need a specific surgical procedure like iliopsoas fractional lengthening. Your surgeon will tailor the treatment based on your symptoms and condition.