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Updated: May 20, 2026
05:30
Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
Hip labral cyst caused by psoas impingement
Marc Tey1, Sonia Alvarez, Jose L Ríos
1Orthopaedic Department, ACTUA Serveis Medics (Medical Services), Clínica Bofill, Girona, Spain. mtey.icatme@idexeus.es
Summary
Psoas impingement can cause hip labral tears and paralabral cysts. This case study details successful arthroscopic treatment for a young athlete, involving cyst removal, psoas tenotomy, and labral repair.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Hip Arthroscopy
Background:
- Hip labral tears and paralabral cysts are often linked to femoroacetabular impingement.
- Iliopsoas tendon impingement is a less common cause of hip pain and associated pathology.
- The literature lacks documented cases of paralabral cysts from psoas impingement treated arthroscopically.
Observation:
- A young athlete presented with groin pain attributed to psoas impingement.
- Imaging revealed a hip labral tear and a secondary paralabral cyst.
- The patient experienced significant pain and functional limitation.
Findings:
- Arthroscopic intervention successfully addressed the psoas impingement.
- The procedure included debridement of the paralabral cyst.
- Labral repair and psoas tenotomy were performed concurrently.
Implications:
- This case expands the understanding of hip pathology related to psoas impingement.
- Arthroscopic management is a viable treatment option for labral tears and cysts caused by psoas impingement.
- Highlights the importance of considering psoas impingement in athletes with hip pain and cystic lesions.
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