Anterior dislocation of THA after Iliopsoas tenotomy in spinopelvic imbalance: a rare case report

Autor:	Sun-Jung Yoon, Jong-Hyun Ko, Dean K. Matsuda
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	Case report Impingement Iliopsoas tenotomy Anterior dislocation Total hip arthroplasty Diseases of the musculoskeletal system RC925-935
Zdroj:	BMC Musculoskeletal Disorders, Vol 21, Iss 1, Pp 1-6 (2020)
Druh dokumentu:	article
ISSN:	1471-2474
DOI:	10.1186/s12891-020-03711-6
Popis:	Abstract Background Iliopsoas impingement is a complication of total hip arthroplasty that often manifests as groin pain during initial hip flexion. However, there are no reports of mechanical complications after iliopsoas tenotomy following total hip arthroplasty (THA). Case presentation We present the case of a 64-year-old woman with degenerative lumbar kyphosis who developed anterior hip dislocations after arthroscopic iliopsoas tenotomy for anterior impingement following THA. She ultimately required revision of the acetabular cup. Conclusions Arthroscopic tenotomy for refractory iliopsoas tendinopathy may be appealing because of its less invasive nature. However, caution should be exercised in the setting of significant cup malpositioning and/or spinopelvic imbalance to avoid iatrogenic anterior instability.
Databáze:	Directory of Open Access Journals
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