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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.

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Iliopsoas impingement causes hip pain, often after total hip arthroplasty. This review details diagnosis and surgical treatments, including arthroscopic techniques, for iliopsoas tendon release.

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Hip arthroscopyHip endoscopyHip flexor muscle weakeningTendon releaseTotal hip arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomedical Engineering

Background:

  • Iliopsoas impingement involves painful contact between the iliopsoas tendon and the anterior acetabular rim.
  • This condition can manifest in native hips (internal snapping hip) or post-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.
  • To aid in precise treatment planning and complication avoidance.

Main Methods:

  • Literature review of diagnostic approaches.
  • Analysis of open surgical procedures for iliopsoas tendon release.
  • Evaluation of minimally invasive arthroscopic techniques for iliopsoas tendon release.

Main Results:

  • Diagnostic strategies encompass clinical examination, imaging (ultrasound, MRI), and intra-articular anesthesia.
  • Open surgical release is a well-established treatment.
  • Arthroscopic techniques offer minimally invasive options with potentially faster recovery.

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 approaches represent an evolving and promising treatment modality.