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Iliopsoas tendinitis after total hip arthroplasty
C J Della Valle1, M Rafii, W L Jaffe
1Department of Orthopaedic Surgery, New York University-Hospital for Joint Diseases, New York City, New York, USA.
The Journal of Arthroplasty
|October 19, 2001
Summary
Iliopsoas tendinitis can cause groin pain after total hip arthroplasty. Surgical release of the iliopsoas tendon effectively resolved symptoms in a patient who did not respond to nonoperative care.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Disorders
Background:
- Groin pain is a common complication following total hip arthroplasty (THA).
- Diagnosing the precise cause of groin pain post-THA can be challenging.
- Iliopsoas tendinitis is an underrecognized cause of persistent groin pain after THA.
Observation:
- A patient presented with persistent groin pain after undergoing total hip arthroplasty.
- Conservative management, including physical therapy and medication, failed to alleviate the patient's symptoms.
- The pain was attributed to irritation and inflammation of the iliopsoas tendon.
Findings:
- The patient underwent surgical release of the iliopsoas tendon.
- Following the surgical intervention, the patient experienced complete resolution of groin pain.
- This case highlights iliopsoas tendinitis as a treatable cause of post-THA groin pain.
Implications:
- Surgical release of the iliopsoas tendon should be considered for patients with refractory groin pain after THA.
- Accurate diagnosis and targeted treatment can significantly improve patient outcomes after total hip arthroplasty.
- This finding expands the differential diagnosis for groin pain in the THA population.