Iliopsoas bursitis is a well-established cause of groin pain after total hip arthroplasty (THA), and it can become dramatically more complex when associated with neurovascular compression. Iliopsoas bursitis may be caused by a variety of pathologies in the setting of a THA but most frequently due to a prominent acetabular component or implant wear. Here we report a rare case of a female patient presenting with iliopsoas tendonitis, an accompanying femoral nerve palsy, and debilitating pain beginning 12 years after a previously successful primary THA without apparent implant wear. Ultimately, our patient was treated successfully with iliopsoas tendon release for anterior prominence of the acetabular component.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933726 | PMC |
| http://dx.doi.org/10.1016/j.artd.2022.02.004 | DOI Listing |
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Introduction: Iliopsoas bursitis and tendinopathy are common causes of hip pain and major contributors to snapping hip syndrome, which affects 5-10% of the general population. These conditions often are treated with conservative measures, including corticosteroid injections into the iliopsoas bursa. However, the clinical effectiveness of such injections has not been well studied.
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Article Synopsis
- - Disability from iliopsoas (IP) pain is often overlooked in athletes, despite its critical role in hip flexion and stabilization.
- - Accurate diagnosis can be complicated, as IP pain may mimic labral tears on MRIs, which are also not very effective at detecting IP tendinitis and bursitis.
- - Functional assessments like hip flexion tests and palpation can help identify IP pain, which is especially risky for those with hip instability or certain anatomical conditions.
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