Iliopsoas tendonitis - A complication after total hip arthroplasty

被引:68
作者
O'Sullivan, Michael [1 ]
Tai, Cheh Chin [1 ]
Richards, Simon [1 ]
Skyrme, Andrew D. [1 ]
Walter, William L. [1 ]
Walter, William K. [1 ]
机构
[1] Sydney Hip & Knee Surg, Sydney, NSW, Australia
关键词
iliopsoas tendonitis; total hip arthroplasty complication;
D O I
10.1016/j.arth.2006.05.034
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The causes of pain after total hip arthroplasty are multiple. We present a series of 15 patients (16 cases) who presented with pain related to the iliopsoas tendon. All patients had previously undergone cementless hip arthroplasty and presented with similar symptoms and clinical signs. Surgery was carried out after failure of conservative measures. Release of the iliopsoas tendon from the lesser trochanter gave good symptomatic relief in all except one patient who required reposition of acetabular prosthesis, with the average Harris Hip Score improving from 58 (range, 44-70) to 91 (range, 78-95) postoperatively. This relatively uncommon condition should be considered in the differential diagnosis of all patients who present with groin pain after total hip arthroplasty. Surgical release of the iliopsoas tendon can give excellent results in these patients.
引用
收藏
页码:166 / 170
页数:5
相关论文
共 15 条
[1]   Iliopsoas impingement on the acetabular component:: Radiologic and computed tomography findings of a rare prosthesis complication in eight cases [J].
Cyteval, C ;
Sarrabère, P ;
Cottin, A ;
Assi, C ;
Morcos, L ;
Maury, P ;
Taourel, P .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 2003, 27 (02) :183-188
[2]  
Della Valle CJ, 2001, J ARTHROPLASTY, V16, P923
[3]  
Eddine TA, 2001, REV CHIR ORTHOP, V87, P815
[4]  
ENGH CA, 1990, CLIN ORTHOP RELAT R, P107
[6]   Pain related to the psoas muscle after total hip replacement [J].
Jasani, V ;
Richards, P ;
Wynn-Jones, C .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2002, 84B (07) :991-993
[7]  
JOHANSON NA, 1983, CLIN ORTHOP RELAT R, P214
[8]   CLINICAL AND RADIOGRAPHIC EVALUATION OF TOTAL HIP-REPLACEMENT - A STANDARD SYSTEM OF TERMINOLOGY FOR REPORTING RESULTS [J].
JOHNSTON, RC ;
FITZGERALD, RH ;
HARRIS, WH ;
POSS, R ;
MULLER, ME ;
SLEDGE, CB .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1990, 72A (02) :161-168
[9]   ISCHEMIA OF THE LOWER-EXTREMITY AFTER TOTAL HIP-REPLACEMENT - REPORT OF 4 CASES [J].
MATOS, MH ;
AMSTUTZ, HC ;
MACHLEDER, HI .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1979, 61 (01) :24-27
[10]  
MORREY BF, 1984, CLIN ORTHOP RELAT R, P160