Arthroscopic treatment of iliopsoas impingement (IPI) after total hip replacement

Jerosch, Jörg; Neuhäuser, Christian; Sokkar, Sherif

doi:10.1007/s00402-013-1806-6

Cited by 47 publications

(32 citation statements)

References 24 publications

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“…There have been other case series that have reported improvement in symptoms after arthroscopic iliopsoas release in the central compartment after THA. 15 , 16 …”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Iliopsoas Release at the Level of the Lesser Trochanter Following Total Hip Arthroplasty

Patel

Chhabra

Goodwin

et al. 2017

Arthroscopy Techniques

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Iliopsoas impingement is an uncommon cause of pain after total hip arthroplasty. If pain persists after a trial of conservative treatment, surgical intervention can alleviate the patient's symptoms. Multiple advantages exist to release the iliopsoas tendon at the level of the lesser trochanter. The purpose of this Technical Note is to demonstrate a technique for arthroscopic release of the iliopsoas tendon at the lesser trochanter after total hip arthroplasty.

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“…There have been other case series that have reported improvement in symptoms after arthroscopic iliopsoas release in the central compartment after THA. 15 , 16 …”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Iliopsoas Release at the Level of the Lesser Trochanter Following Total Hip Arthroplasty

Patel

Chhabra

Goodwin

et al. 2017

Arthroscopy Techniques

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“…Cabe destacar también el importante número de casos en que se realizó artroscopia en artroplastias de cadera (5%). Los principales procedimientos realizados en este tipo de casos fueron: tenotomía del psoas, bursectomía, reparación del glúteo medio y artroscopia diagnóstica en las que se comprobó si existía o no movilización de alguno de sus componentes [19][20][21][22][23][24][25][26] . Este importante número de casos de prótesis de cadera tratado mediante artroscopia podría atribuirse en parte a la circunstancia de que uno de los cirujanos participantes en el estudio (R. C.) es pionero en ese campo 27,28 .…”

Section: Discussionunclassified

Evolución de los procedimientos artroscópicos de cadera en el País Vasco entre 2008 y 2013

Ayestarán

Gutiérrez

Etxebarría-Foronda

et al. 2015

Revista Española de Artroscopia y Cirugía Articular

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“…The strong female preponderance might be explained by a narrower iliopsoas tendon in females (10.2 mm) compared with females without iliopsoas impingement (11.0 mm) and males with iliopsoas impingement (11.9 mm) [35]. Iliopsoas impingement has also been reported in patients following total hip resurfacing and total hip replacement when a larger femoral head component is used which leads to the abutment of the iliopsoas tendon against the prosthetic femoral head or when the acetabular component is large or anteverted [38][39][40][41].…”

Section: Aetiology and Clinical Featuresmentioning

confidence: 99%

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

Nakano

Yip

Khanduja

2017

International Orthopaedics (SICOT)

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Purpose Extra-articular hip impingement syndromes encompass a group of conditions that have previously been an unrecognised source of pain in the hip and on occasion been associated with intra-articular hip impingement as well. As arthroscopic techniques for the hip continue to evolve, the importance of these conditions has been recognised recently and now form an important part of the differential of an individual presenting with hip pain. The aim of this article, therefore, is to provide the reader with an evidence-based and comprehensive update of these syndromes. Methods By reviewing past literature, the anatomy, pathophysiology, clinical features and the management of the five common extra-articular hip impingement syndromes were described. Results The common extra-articular impingement syndromes are: 1) Ischiofemoral impingement: quadratus femoris muscle becomes compressed between the lesser trochanter and the ischial tuberosity. 2) Subspine impingement: mechanical conflict occurs between an enlarged or malorientated anterior inferior iliac spine and the distal anterior femoral neck. 3) Iliopsoas impingement: mechanical conflict occurs between the iliopsoas muscle and the labrum, resulting in distinct anterior labral pathology. 4) Deep gluteal syndrome: pain occurs in the buttock due to the entrapment of the sciatic nerve in the deep gluteal space. 5) Pectineofoveal impingement: pain occurs when the medial synovial fold impinges against overlying soft tissue, primarily the zona orbicularis. Knowledge for these syndromes still remains limited for reasons mostly relating to their low prevalence and their co-existence with typical femoro-acetabular impingement. Conclusions The knowledge of extra-articular hip impingement syndromes is essential and should form a part of the differential diagnoses alongside intra-articular pathology including femoro-acetabular impingement particularly in the younger patient with a non-arthritic hip.

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Arthroscopic treatment of iliopsoas impingement (IPI) after total hip replacement

Abstract: An arthroscopic release of the iliopsoas tendon with evidence of iliopsoas impingement after total hip replacement gives predictably good results. A clinically relevant weakness of hip flexion is not expected after the procedure.

Cited by 47 publications

References 24 publications

Arthroscopic Iliopsoas Release at the Level of the Lesser Trochanter Following Total Hip Arthroplasty

Arthroscopic Iliopsoas Release at the Level of the Lesser Trochanter Following Total Hip Arthroplasty

Evolución de los procedimientos artroscópicos de cadera en el País Vasco entre 2008 y 2013

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

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