Technique and results of endoscopic tenotomy in iliopsoas muscle tendinopathy secondary to total hip replacement: A series of 10 cases

Gedouin, J E; Huten, D.

doi:10.1016/j.otsr.2012.04.009

Cited by 48 publications

(41 citation statements)

References 22 publications

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“…The adverse effects of iliopsoas tenotomy are unclear. It is generally thought that there is no significant loss of hip flexion strength after tenotomy [13] . Dora et al.…”

Section: Discussionmentioning

confidence: 99%

Iliopsoas impingement after revision total hip arthroplasty treated with iliopsoas muscle transection

Morohashi

Homma

Kanda

et al. 2016

Annals of Medicine &Amp; Surgery

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IntroductionIliopsoas tendinitis after revision total hip arthroplasty (THA) is rare and its etiology and optimal treatment are still unclear. We report a case of iliopsoas impingement after revision THA with a Kerboull acetabular reinforcement device requiring two-level iliopsoas muscle transection.Presentation of caseA 70-year-old woman presented to our hospital complaining of debilitating right groin pain after revision THA with a Kerboull reinforcement device. She had undergone multiple hip operations after experiencing a pelvic fracture in a motor vehicle accident. A lidocaine nerve block at the level of the Kerboull device resulted in temporary but marked reduction in pain and a diagnosis of psoas impingent. We performed surgery via an anterior approach to release the iliopsoas muscle from the lesser trochanter. After iliopsoas tenotomy was performed, the muscle was still under high tension because of dense adhesions. Repeat transection of the iliopsoas muscle at the level of the anterior branch of the Kerboull device resulted in loosening of the iliopsoas muscle and resolution of impingement. Postoperatively, the patient's groin pain completely disappeared, and she can now walk with a single cane and is satisfied with her result.DiscussionAdhesions around the iliopsoas muscle likely contributed to the patient's groin pain. Open surgery to perform complete release of iliopsoas muscle impingement should be considered in patients with pain after revision THA.ConclusionWe reported a patient with Iliopsoas tendinitis after revision THA requiring two-level iliopsoas muscle transection.

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“…The adverse effects of iliopsoas tenotomy are unclear. It is generally thought that there is no significant loss of hip flexion strength after tenotomy [13] . Dora et al.…”

Section: Discussionmentioning

confidence: 99%

Iliopsoas impingement after revision total hip arthroplasty treated with iliopsoas muscle transection

Morohashi

Homma

Kanda

et al. 2016

Annals of Medicine &Amp; Surgery

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“…[15][16][17][18] Encouraged by the good results reported with endoscopic release for internal snapping hip, similar techniques were used for iliopsoas impingement after THR. Gédouin and Huten 19 reported on 10 cases treated with endoscopic tenotomy, showing complete pain relief in 8 cases and partial pain relief in 2 cases; they concluded that endoscopic tenotomy is a safe and simple technique.…”

Section: E206mentioning

confidence: 99%

Endoscopic Iliopsoas Tenotomy for Iliopsoas Impingement on a Collared Femoral Prosthesis

Lindner

Stake

Bitar

et al. 2013

Arthroscopy Techniques

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Groin pain after total hip replacement is an uncommon event and may be the result of several causes, including iliopsoas impingement. We describe the case of a 51-year-old woman who was diagnosed with iliopsoas impingement after total hip replacement with a collared femoral stem. She did not improve despite extensive conservative treatment. She was treated by endoscopic iliopsoas tenotomy, and the surgical technique is described herein. Her preoperative groin pain and popping disappeared completely at 3 months postoperatively.

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“…Blankenbaker et al 38 found one case of iliopsoas tendinopathy in a cohort of 40 patients with snapping hips. Other reports of iliopsoas tendinopathy have been documented in patients with total hip replacements 39,40 with an incidence of 4.3%. 40 The author of this study found no cases of reports in runners, whose prevalence of groin pain is as high as 18 percent.…”

Section: Introductionmentioning

confidence: 95%

“…Other reports of iliopsoas tendinopathy have been documented in patients with total hip replacements 39,40 with an incidence of 4.3%. 40 The author of this study found no cases of reports in runners, whose prevalence of groin pain is as high as 18 percent. 41 Whether it is a rare condition, or under-or misdiagnosed under different names such as tendinitis, bursitis, or snapping hip syndrome, seems unknown.…”

Section: Introductionmentioning

confidence: 95%

The Rehabilitation of a Runner With Iliopsoas Tendinopathy Using an Eccentric-Biased Exercise-a Case Report

Rauseo

2017

Intl J Sports Phys Ther

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Background and Purpose: While there is much discussion about tendinopathy in the literature, there is little reference to the less common condition of iliopsoas tendinopathy, and no documentation of the condition in runners. The iliopsoas is a major decelerator of the hip and eccentric loading of the iliopsoas is an important component of energy transfer during running. Eccentric training is a thoroughly researched method of treating tendinopathy but has shown mixed results. The purpose of this case report is to describe the rehabilitation of a runner with iliopsoas tendinopathy, and demonstrate in a creative eccentric-biased technique to assist with treatment. A secondary objective is to illustrate how evidence on intervention for other tendinopathies was used to guide rehabilitation of this seldom described condition.Case Description: The subject was a 39-year-old female middle distance runner diagnosed with iliopsoas tendinopathy via ultrasound, after sudden onset of left anterior groin pain. Symptoms began after a significant increase in running load, and persisted, despite rest, for three months. The intervention consisted of an eccentric-biased hip flexor exercise, with supportive kinetic chain exercises and progressive loading in a return to running program. Outcomes:The Copenhagen Hip and Groin Outcome Score, the Visual Analogue Scale, the Global Rating of Change Scale and manual muscle testing scores all improved after 12 weeks of intervention with further improvement at the five-year follow up. After 12 weeks of intervention, the subject was running without restriction and had returned to her pre-injury running mileage at the five-year follow up. Discussion:The eccentric-biased exercise in conjunction with exercises addressing the kinetic chain and a progressive tendon loading program, were successful in the rehabilitation of this subject with iliopsoas tendinopathy. This case report is the first to provide a description on the rehabilitation of iliopsoas tendinopathy, and offers clinicians suggestions and guidance for treatment and exercise choice in the clinical environment. Level of Evidence: 5

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Technique and results of endoscopic tenotomy in iliopsoas muscle tendinopathy secondary to total hip replacement: A series of 10 cases

Abstract: IV, retrospective, case series.

Cited by 48 publications

References 22 publications

Iliopsoas impingement after revision total hip arthroplasty treated with iliopsoas muscle transection

Iliopsoas impingement after revision total hip arthroplasty treated with iliopsoas muscle transection

Endoscopic Iliopsoas Tenotomy for Iliopsoas Impingement on a Collared Femoral Prosthesis

The Rehabilitation of a Runner With Iliopsoas Tendinopathy Using an Eccentric-Biased Exercise-a Case Report

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