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Updated: Jun 30, 2026
07:43
In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Psoas impingement syndrome in hip osteoarthritis
Luigi Di Lorenzo1, Yanow Jennifer, Marco Pappagallo
1Dirigente Medico Rehabilitation Unit, Azienda Ospedaliera RUMMO Benevento, Italy. luigidilorenzo2005@libero.it
Joint Bone Spine
|September 30, 2008
Summary
This study describes a case of psoas impingement-like syndrome in severe hip osteoarthritis, distinct from post-total hip arthroplasty complications. It highlights compensatory strategies and anatomical factors contributing to hip pain.
Area of Science:
- Orthopedic Surgery
- Radiology
- Human Anatomy
Background:
- Osteoarthritis of the hip causes anatomical and biomechanical changes.
- Total hip arthroplasty (THA) is a common treatment for advanced hip osteoarthritis.
- Understanding hip anatomy and joint forces is crucial for pathology and treatment.
Observation:
- Iliopsoas impingement on prosthetic cups can cause pain after THA.
- Anterior acetabular ridge shape influences implant overlap and impingement.
- This paper presents a case of psoas impingement-like syndrome in a patient without prior hip replacement.
Findings:
- The patient exhibited compensatory strategies to alleviate pain and prevent falls.
- CT scans revealed underlying anatomical pathology contributing to the syndrome.
- This condition mimics post-THA iliopsoas impingement but occurs in native hips.
Implications:
- This case expands the understanding of hip impingement syndromes beyond post-surgical contexts.
- It underscores the importance of detailed anatomical assessment in hip osteoarthritis.
- Further research may explore non-surgical management of such anatomical predispositions.
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