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Iliopsoas tendonitis caused by overhang of a collared femoral prosthesis
Christopher J Brew1, Ian Stockley, Andrew J Grainger
1Department of Orthopaedics, Leeds Teaching Hospitals NHS Trust, Leeds, West Yorkshire, UK.
Abstract:
Pain after total hip arthroplasty can be due to a variety of causes, one of the less common being iliopsoas tendonitis. We report an unusual case of iliopsoas tendonitis caused by overhang of the femoral calcar by a collared femoral prosthesis resulting in impingement on the iliopsoas tendon. An ultrasound-guided corticosteroid and local anesthetic diagnostic injection to the site of impingement confirmed the diagnosis with temporary symptom relief. Revision of the femoral stem to a collarless prosthesis resulted in immediate and complete resolution of symptoms.
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