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[Iliopsoas impingement].

Ingo J Banke1,2, Alexander Zimmerer3,4,5, Jens Goronzy3,6

  • 1Klinik und Poliklinik für Orthopädie und Sportorthopädie, School of Medicine and Health & Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, München, Deutschland. ingo.banke@mri.tum.de.

Orthopadie (Heidelberg, Germany)
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PubMed
Summary

Iliopsoas impingement causes hip pain due to tendon-bone contact, often after hip replacement. This review details diagnosis and surgical release options for iliopsoas tendon issues, improving patient quality of life.

Keywords:
Hip arthroscopyHip endoscopyHip flexor muscle weakeningTendon releaseTotal hip arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanics

Background:

  • Iliopsoas impingement involves painful contact between the iliopsoas tendon and the anterior acetabular rim.
  • This condition is associated with internal snapping hip syndrome and can occur after total hip arthroplasty (THA).
  • It leads to chronic groin pain and significantly reduced quality of life.

Purpose of the Study:

  • To review diagnostic methods for identifying iliopsoas impingement.
  • To present surgical techniques for iliopsoas tendon release, including open and arthroscopic approaches.
  • To aid in precise treatment planning and complication avoidance.

Main Methods:

  • Literature review of diagnostic modalities for iliopsoas impingement.
  • Analysis of surgical techniques for iliopsoas tendon release.
  • Evaluation of outcomes and complications associated with different surgical approaches.

Main Results:

  • Diagnostic approaches include clinical examination, imaging (ultrasound, MRI), and provocative tests.
  • Surgical options range from open procedures to minimally invasive arthroscopic techniques.
  • Arthroscopic release offers potential for precise treatment and reduced morbidity.

Conclusions:

  • Accurate diagnosis is crucial for effective management of iliopsoas impingement.
  • Both open and arthroscopic surgical releases are viable options for treating iliopsoas impingement.
  • Minimally invasive arthroscopic techniques are emerging as effective alternatives for iliopsoas tendon release.