Endoscopic Iliopsoas Tenotomy for Iliopsoas Impingement on a Collared Femoral Prosthesis
Authors
Lindner D, Stake CE, El Bitar YF, Jackson TJ, Domb BG
https://doi.org/10.1016/j.eats.2013.02.008
Purpose
To describe the diagnosis and endoscopic treatment of iliopsoas impingement in a patient with a collared femoral prosthesis following total hip replacement.
Methods
A case report of a 51-year-old woman with persistent groin pain after hip arthroplasty. She underwent diagnostic evaluation and ultimately an endoscopic iliopsoas tenotomy.
Key Findings
The patient experienced complete resolution of groin pain and mechanical symptoms by three months postoperatively.
Conclusion
Endoscopic iliopsoas tenotomy is a viable treatment for iliopsoas impingement caused by a collared femoral prosthesis in cases unresponsive to conservative measures.
What This Means for Patients
Patients with unexplained groin pain after hip replacement may have iliopsoas impingement, which can be effectively treated with a minimally invasive surgical procedure, resulting in significant symptom relief.