285 results match your criteria: "Iliopsoas Tendinitis"
4-year clinical outcomes of anterior acetabular wall reconstruction and cup revision for treatment of anterior acetabular wall defects with iliopsoas tendinopathy following total hip arthroplasty.
Hip Int
December 2024
Orthopaedic Surgery Department, Clinique Trenel, Sainte-Colombe, France.
Purpose: To assess clinical and radiographic outcomes of anterior acetabular wall reconstruction and cup revision in patients with anterior acetabular wall defects and associated iliopsoas tendinopathy (IPT) following total hip arthroplasty (THA).
Methods: 7 patients with IPT (defined as groin pain that increased with active hip flexion) and pre-revision computed tomography (CT) scans showing anterior acetabular wall defects and cup-iliopsoas impingement were included. During cup revision, an autologous biconvex iliac crest graft was harvested and placed over the anterior acetabular wall defect before press-fitting a revision cup.
Endoscopic Iliopsoas Fractional Lengthening as a Treatment for Refractory Iliopsoas Impingement After Total Hip Arthroplasty Shows Favorable Functional Outcomes With No Impact on Range of Motion.
Arthroscopy
December 2024
American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.; American Hip Institute, Chicago, Illinois, U.S.A.. Electronic address:
Article Synopsis
Article Synopsis
- Acute iliopsoas tendinitis is a rare inflammation of the iliopsoas muscle, with a mortality rate of 3.4%, and the author treated 29 patients, providing the largest experience in Europe.
- The study analyzes 60 literature sources from various continents to explore the condition's clinical signs, diagnostics, and treatment compared to paranephritis.
- Key symptoms include pain in the ilio-inguinal area, lameness, continuous fever, and tenderness, with ultrasound, CT, and MRI being the best options for differential diagnosis.
Patient-reported outcomes in total hip arthroplasty for patients with anatomically contoured femoral heads.
Hip Int
November 2024
Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Article Synopsis
- Iliopsoas tendinitis is increasingly common after total hip arthroplasty (THA) due to large femoral heads causing issues with surrounding tissues, prompting the use of anatomically contoured heads (ACH) that are gentler on soft tissue.
- This study analyzed 53 cases of THA with ACH to evaluate the prevalence of iliopsoas tendinitis, re-operations, and the effectiveness of the procedure using various patient-reported outcome measures (PROMs) over time.
- Results showed significant improvement in most PROM scores within the first year post-surgery, with no instances of iliopsoas tendinitis, dislocations, or re-operations reported, indicating that ACH implants may effectively reduce anterior hip
Accuracy of ultrasound-guided iliopsoas tendon injection after total hip arthroplasty: a retrospective observational study.
J Ultrasound
December 2024
Department of Orthopaedic Surgery, Stanford University, 450 Broadway Avenue, Redwood City, CA, 94063, USA.
Purpose: To describe and characterize the accuracy and benefit of a technique for performing ultrasound-guided needle placement for iliopsoas peritendon or bursa injections as an alternative method to fluoroscopic guidance.
Materials And Methods: Patients with a history of total hip arthroplasty who were referred by their orthopedic surgeon for iliopsoas peritendon or bursa corticosteroid injection for iliopsoas impingement syndrome between June 2017 and December 2019 were eligible for inclusion. Of these patients, 19 received a total of 26 ultrasound-guided needle placement followed by confirmatory fluoroscopic guidance prior to injection.
Isolated spontaneous non-insertional tear of the iliopsoas tendon in an elderly patient: significance of ultrasound imaging.
J Ultrasound
July 2024
Department of Musculoskeletal Radiology, The Royal Orthopedic Hospital, Bristol Road South, Northfield, Birmingham, UK.
Article Synopsis
- An 88-year-old man experienced right groin pain due to a rare spontaneous tear in the iliopsoas tendon, which was diagnosed using ultrasound and MRI.
- The ultrasound showed specific changes in the tendon, allowing for quick identification and a successful conservative treatment plan.
- This case highlights the importance of considering spontaneous tendon tears in acute groin pain cases and demonstrates how ultrasound can be an effective and cost-efficient diagnostic tool in low-resource settings.
Arthroscopic Fractional Lengthening After Total Hip Arthroplasty Results in Improved Patient-Reported Outcomes and Low Rates of Revision Total Hip Arthroplasty.
Arthrosc Sports Med Rehabil
June 2024
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Article Synopsis
- The study aimed to evaluate the outcomes and reoperation rates of arthroscopic iliopsoas release after total hip arthroplasty (THA) at two medical institutions, focusing on patient-reported outcomes (PROs).
- A total of 60 hips from 58 patients were reviewed, revealing that 77% of patients experienced improvements in their condition, with notable pain reduction and increased hip flexion strength.
- The findings indicated that while surgery satisfaction was relatively high (7.2 out of 10), there was no significant correlation between the preoperative acetabular component overhang and postoperative outcomes.
US-Guided Interventional Procedures for Total Hip Arthroplasty.
J Clin Med
July 2024
IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy.
Article Synopsis
- Patients with total hip arthroplasty (THA) may experience recurrent pain due to various issues related to the joint and surrounding tissues, such as tendons and nerves.
- Ultrasound (US) plays a crucial role in diagnosing these conditions, allowing for quick identification of problems and evaluation of pain relief through localized anesthetic injections.
- US guidance can also assist in procedures like fluid aspiration from the joint and injections of treatments such as corticosteroids and platelet-rich plasma for therapeutic benefits.
Epidemiology of Non-Contact Muscle Injuries in the Italian Male Elite Under-19 Football (Soccer) Championship.
Sports Med Open
June 2024
Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Torino, Italy.
Article Synopsis
- - This study focuses on time-loss muscle injuries in young football players from the Italian Under-19 Championship, addressing the lack of research in this area compared to adult players.
- - Over the 2022-23 season, data from 391 players revealed 479 total injuries, with 44% being muscle injuries, predominantly affecting the hamstrings, quadriceps, adductors, calves, and iliopsoas, leading to significant time lost.
- - The findings indicate hamstring injuries are the most severe, causing nearly half the days lost due to muscle injuries, and highlight that injuries involving myo-tendinous or myo-aponeurotic areas result in a longer recovery time.
Reappraisal of the morphological and morphometric study of the psoas minor muscle with clinical and developmental insights: cadaveric study.
Folia Morphol (Warsz)
April 2024
Department of Anatomy, Jagiellonian University, Krakow, Poland.
Article Synopsis
- The study focused on the Psoas Minor (PMi), a relatively unstable muscle in the posterior abdominal region, aiming to enhance understanding of its anatomy and dimensions.
- Researchers dissected 30 adult cadavers and noted various anatomical features of PMi including its origin, insertion, length, and width, finding the muscle in 12 cases, mostly bilaterally.
- Results showed significant variability in the muscle's size and shape, suggesting that PMi's attachment may influence the stability of surrounding muscles, but further research is needed to assess its impact on related health issues.
Determination of preoperative risk factors for iliopsoas tendonitis after total hip arthroplasty: A simulation study.
J Orthop Res
September 2024
Institute of Bone and Joint Research, Kolling Institute, The University of Sydney, Sydney, New South Wales, Australia.
Article Synopsis
- The study investigates preoperative risk factors for iliopsoas tendonitis following total hip arthroplasty, focusing on factors like acetabular cup positioning using simulations from CT scans and X-rays of 448 patients.
- A significant 23% of patients were found to be at risk, with critical parameters like standing pelvic tilt and the difference in size between the planned acetabular cup and the native femoral head showing notable variations between at-risk and not-at-risk groups.
- Findings indicate that adjusting acetabular cup anteversion can help lower impingement risk more effectively than medialisation, providing surgeons with guidelines in preoperative planning to minimize iliopsoas tendonitis during hip replacement procedures.
The morphological variability of the pelvic girdle muscles: a potential trap during ultrasound.
Folia Morphol (Warsz)
April 2024
Department of Anatomical Dissection and Donation, Medical University of Lodz, Łódź, Poland.
Article Synopsis
- * A detailed literature review was conducted to explore these variations, but there is limited research on their impact on ultrasound imaging.
- * While the variability in pelvic girdle muscles is similar to other body regions, more focused studies using ultrasound are necessary to understand the implications of these anatomical variations.
Satisfactory mid-term clinical outcomes of endoscopic tenotomy for iliopsoas tendinopathy following total hip arthroplasty.
Knee Surg Sports Traumatol Arthrosc
May 2024
Lyon Ortho Clinic, Clinique de la Sauvegarde, Lyon, France.
Article Synopsis
- The study investigates the 5-year outcomes of endoscopic iliopsoas tenotomy in patients experiencing iliopsoas tendinopathy after total hip arthroplasty (THA).
- It involved a cohort of 16 men and 31 women, measuring cup positions through imaging techniques and assessing hip scores and pain relief post-procedure.
- Results showed significant improvements in hip scores, but increased sagittal cup overhang was linked to decreased improvements in the modified Harris hip score.
The Iliopsoas: Anatomy, Clinical Evaluation, and Its Role in Hip Pain in the Athlete: A Scoping Review.
J Am Acad Orthop Surg
July 2024
From the Department of Orthopedic Surgery, Cleveland Clinic Foundation, Division of Sports Medicine, Cleveland, OH (Dr. Tramer), the Department of Orthopedic Surgery, Sports Orthopedic Research Center - Copenhagen (SORC-C), Copenhagen University Hospital, Hvidovre, Denmark, (Dr. Holmich), Department of Clinical, Medicine, University of Copenhagen, Copenhagen, Denmark (Dr. Holmich) and the Department of Orthopaedic Surgery, Stanford University, Redwood City, CA (Dr. Safran).
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.
Threshold for anterior acetabular component overhang correlated with symptomatic iliopsoas impingement after total hip arthroplasty.
Bone Joint J
March 2024
Univ. Lille, Hauts de France, Lille, France.
Article Synopsis
- Mechanical impingement of the iliopsoas tendon can cause persistent pain after total hip arthroplasty, often due to the anterior acetabular component not being properly positioned.
- A study analyzed CT scans from 622 patients and identified a threshold of 4 mm or more of acetabular overhang that is linked to symptomatic iliopsoas impingement.
- The findings suggest that below this 4 mm threshold, other causes of pain should be investigated before assuming iliopsoas impingement is the problem.
Comparison of iliopsoas tendonitis after hip resurfacing arthroplasty and total hip arthroplasty: A case-controlled investigation using a validated simulation.
J Orthop Res
July 2024
Institute of Bone and Joint Research, Kolling Institute, The University of Sydney, Sydney, Australia.
Article Synopsis
- Iliopsoas tendonitis occurs after total hip arthroplasty (THA) in about 18% of patients and in up to 30% after hip resurfacing arthroplasty (HRA), mainly due to impingement with the acetabular cup.
- A simulation developed to detect iliopsoas impingement was validated for THA patients, and the current study aimed to validate it for HRA patients and compare differences in incidence between the two groups.
- The simulation proved effective, showing an 83% sensitivity and 100% specificity in predicting iliopsoas tendonitis in HRA patients, while also finding less impingement in the HRA cohort compared to the THA
No difference in prevalence of postoperative iliopsoas tendinitis in patients undergoing arthroscopic hip surgery when using absorbable versus non-absorbable suture for capsular closure.
Eur J Orthop Surg Traumatol
April 2024
NYU Langone Orthopedic Hospital, NYU Langone Health, 334 East 26th Street, New York, NY, 10003, USA.
Article Synopsis
- The study examines the occurrence of iliopsoas tendinitis (IPT), a common complication, after arthroscopic hip surgery using different types of sutures for capsular closure: absorbable and non-absorbable.
- It analyzed data from 1513 surgeries conducted by a single surgeon from August 2007 to May 2023, finding no significant difference in IPT rates between the two suture types (2.3% for non-absorbable and 1.6% for absorbable).
- The research concludes that using absorbable sutures is equally effective as non-absorbable sutures in preventing post-operative IPT, with a notable increase in IPT rates observed in patients undergoing revision surgery compared to
Editorial Commentary: For Post-Hip Arthroplasty Iliopsoas Tendonitis, Psoas Tenotomy Is the Preferred First-Line Treatment, Even in Cases of Cup Overhang.
Arthroscopy
March 2024
San Sebastián, Spain (As.C., R.C.).
Article Synopsis
- - Iliopsoas impingement can cause ongoing pain after total hip replacement, affecting around 4% of patients, likely more in those with unexplained post-surgery pain.
- - The impingement occurs when the iliopsoas tendon rubs against the acetabular component due to factors like improper positioning or oversized cups.
- - If conservative treatments fail, options include psoas tenotomy (which is less invasive and has quicker recovery) or revising the cup component; however, there's ongoing debate about which surgical approach is optimal.
Arthroscopic Iliopsoas Fractional Lengthening After Total Hip Arthroplasty: Using the Iliopsoas Air Bursogram Technique to Hit the Target.
Arthrosc Tech
December 2023
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Article Synopsis
- Iliopsoas tendinitis can occur after total hip replacement, especially if the acetabular cup is positioned incorrectly, leading to anterior overhang.
- In cases with severe misalignment, revision surgery is usually recommended, but even slight overhang can cause pain and issues for many patients.
- An innovative arthroscopic method using an iliopsoas air bursogram allows for safe tendon lengthening, minimizing risks to surrounding nerves and blood vessels.
Hip Arthroscopy in Patients With Generalized Joint Hypermobility Yields Successful Outcomes: A Systematic Review.
Arthroscopy
May 2024
Young Adult Hip Service, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, England. Electronic address:
Article Synopsis
- The purpose of the study was to assess the effectiveness of hip arthroscopy in patients with generalized joint hypermobility (GJH), focusing on patient-reported outcomes and complications.
- A systematic review included 10 studies, revealing that a significant percentage of patients experienced important improvements in pain and function after the procedure, with few complications reported.
- The findings suggest that patients with GJH can achieve positive outcomes comparable to those without hypermobility after arthroscopy, as long as proper surgical techniques are applied.
Endoscopic iliopsoas lengthening for treatment of recalcitrant iliopsoas tendinitis after total hip arthroplasty.
J Hip Preserv Surg
July 2023
Department of Orthopaedic Surgery, Stanford Hospitals and Clinics, 450 Broadway Street, Redwood City, CA 94063, USA.
Article Synopsis
- Iliopsoas tendinitis can occur due to impingement after total hip arthroplasty (THA) and is typically treated with either open surgery or revision, but this study explores endoscopic IP tenotomy as a less invasive option.
- A total of 28 patients underwent this procedure between 2012 and 2021, with follow-up results showing significant improvement in hip function scores (mHHS) and high patient satisfaction (71% satisfied).
- Clinically meaningful improvements were noted particularly in patients with certain characteristics, such as higher cup prominence, greater body mass index, and those who had their index THA less than 2 years prior, while the procedure was shown to be safe with minimal complications.
Multifid Iliopsoas Tendons Are More Common in Patients With Painful Snapping Iliopsoas Tendons.
Arthrosc Sports Med Rehabil
October 2023
Department of Orthopaedic Surgery, University of Rochester Medical Center, Rochester, New York, U.S.A.
Article Synopsis
- The study aimed to assess the prevalence of multifid tendons in patients undergoing iliopsoas release surgery for painful snapping hips by reviewing past medical data from a specific surgeon's database between 2011 and 2020.
- Out of 91 patients analyzed, a significant majority (94.5%) were found to have multifid iliopsoas tendons, based on MRI evaluations, while only 5.5% had unifid tendons.
- When comparing the surgical group with a control group that had MRI for different reasons, the operative group had a notably higher incidence of multifid tendons (94.5% vs. around 69.2%-74.4% in the control group), but
Snapping Hip Syndrome: Pathoanatomy, Diagnosis, Nonoperative Therapy, and Current Concepts in Operative Management.
JBJS Rev
June 2023
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
Article Synopsis
- Asymptomatic snapping hip affects about 5% to 10% of people, but when pain occurs, it’s known as snapping hip syndrome (SHS), which can be either external or internal based on where the snap is felt.
- Diagnosis involves history, physical exams, and possibly imaging to rule out other issues.
- Initial treatment is often non-surgical, but if unsuccessful, options include both open and arthroscopic surgeries, with arthroscopic methods generally showing better outcomes and fewer complications for internal SHS.