Arthroscopic Identification and Management of Recurrent Iliopsoas Impingement After Total Hip Arthroplasty
| Autor: | Biova Kouevidjin, Nuno Camelo Barbosa, Aliou Bah, Bertrand Sonnery-Cottet, Colin G. Murphy, Gilles Clowez, Mathieu Thaunat |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment Tenotomy 03 medical and health sciences 0302 clinical medicine hemic and lymphatic diseases Technical Note Medicine Orthopedics and Sports Medicine Orthopedic surgery 030222 orthopedics business.industry Soft tissue 030229 sport sciences musculoskeletal system Tendon Surgery Arthroscopic release medicine.anatomical_structure Lesser Trochanter Capsulotomy Iliopsoas business RD701-811 Total hip arthroplasty |
| Zdroj: | Arthroscopy Techniques, Vol 7, Iss 4, Pp e349-e353 (2018) Arthroscopy Techniques |
| ISSN: | 2212-6287 |
| Popis: | Arthroscopic release of the iliopsoas tendon for iliopsoas impingement (IPI) after total hip arthroplasty (THA) at the lesser trochanter gives good results. However, where IPI then recurs, due to adhesions between the healing iliopsoas tendon and the surrounding soft tissue, and nonoperative measures have failed, a revision THA procedure is usually considered. We propose a technique of arthroscopic visualization of the recurrent IPI and a subsequent psoas tenotomy at the level of the hip joint using an outside-in capsulotomy approach. This secondary tenotomy, located proximally directly at the level of the recurrent impingement, allows relief of the painful symptoms without compromising the muscle function of the iliopsoas and precludes the need for a complex THA revision. |
| Databáze: | OpenAIRE |
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