Case ReportIliopsoas Tendonitis due to the Protrusion of an Acetabular Component Fixation Screw After Total Hip Arthroplasty
Section snippets
Case Report
A 56-year–old woman underwent a primary left THA after presenting with unilateral osteoarthritis-related pain of 3 years' duration. Cementless acetabular (Trilogy; Zimmer, Warsaw, IN) and femoral components (Versys, Zimmer) were used, and the early postoperative period was uncomplicated. Postoperative anteroposterior (AP) and lateral radiographs revealed that an acetabular screw (35 mm) routinely used by the surgeon for initial cup fixation was long and protruded into the pelvis. All
Discussion
The iliopsoas tendon follows a pulley system that consists of the anterior border of the acetabulum, convex surface of the femoral head, and its anterior capsule and finally inserts into the posteroinferior portion of the greater trochanter [8]. It has been hypothesized that this anatomical pulley system is altered in THA with the removal of the femoral head. Thus, the iliopsoas tendon may run in a more direct line and be disposed to make contact with the anteromedial rim of the acetabular
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Cited by (17)
Editorial Commentary: For Post-Hip Arthroplasty Iliopsoas Tendonitis, Psoas Tenotomy Is the Preferred First-Line Treatment, Even in Cases of Cup Overhang
2024, Arthroscopy - Journal of Arthroscopic and Related SurgeryUltrasound-diagnosed screw protrusion in total hip arthroplasty: A case report and literature review
2024, Asian Journal of SurgeryEndoscopic Tendon Release for Iliopsoas Impingement After Total Hip Arthroplasty—Excellent Clinical Outcomes and Low Failure Rates at Short-Term Follow-Up
2024, Arthroscopy - Journal of Arthroscopic and Related SurgeryThe Limited Reliability of Physical Examination and Imaging for Diagnosis of Iliopsoas Tendinitis
2021, Arthroscopy - Journal of Arthroscopic and Related Surgery
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