Anterior iliopsoas impingement due to a malpositioned acetabular component - effective relief by surgical cup reorientation
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Anterior iliopsoas impingement due to a malpositioned acetabular component - effective relief by surgical cup reorientation. / Schoof, Benjamin; Jakobs, Oliver; Schmidl, Stefan; Lausmann, Christian; Fensky, Florian; Beckmann, Johannes; Gehrke, Thorsten; Gebauer, Matthias.
In: HIP INT, Vol. 27, No. 2, 31.03.2017, p. 128-133.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Anterior iliopsoas impingement due to a malpositioned acetabular component - effective relief by surgical cup reorientation
AU - Schoof, Benjamin
AU - Jakobs, Oliver
AU - Schmidl, Stefan
AU - Lausmann, Christian
AU - Fensky, Florian
AU - Beckmann, Johannes
AU - Gehrke, Thorsten
AU - Gebauer, Matthias
PY - 2017/3/31
Y1 - 2017/3/31
N2 - BACKGROUND: Determining the aetiology of persistent pain following total hip arthroplasty (THA) can be challenging. Impingement of the iliopsoas muscle due to a malpositioned acetabular component after THA might be a potential cause of postoperative groin pain.METHODS: We retrospectively analysed the data of 12 consecutive patients from our orthopaedic department who underwent cup revision for painful iliopsoas impingement after primary THA.RESULTS: Thorough physical examination as well as radiological assessment of the included patients revealed that malpositioning of the acetabular component provoked iliopsoas impingement.The Harris Hip Score and the orientation of the acetabular component before and after surgical revision at an average follow-up of 56 months were analysed.CONCLUSIONS: We were able to demonstrate that surgical cup revision and reorientation resulted in distinctly improved scores and is a feasible option to effectively treat persistent iliopsoas impingement due to a malpositioned acetabular component following THA.
AB - BACKGROUND: Determining the aetiology of persistent pain following total hip arthroplasty (THA) can be challenging. Impingement of the iliopsoas muscle due to a malpositioned acetabular component after THA might be a potential cause of postoperative groin pain.METHODS: We retrospectively analysed the data of 12 consecutive patients from our orthopaedic department who underwent cup revision for painful iliopsoas impingement after primary THA.RESULTS: Thorough physical examination as well as radiological assessment of the included patients revealed that malpositioning of the acetabular component provoked iliopsoas impingement.The Harris Hip Score and the orientation of the acetabular component before and after surgical revision at an average follow-up of 56 months were analysed.CONCLUSIONS: We were able to demonstrate that surgical cup revision and reorientation resulted in distinctly improved scores and is a feasible option to effectively treat persistent iliopsoas impingement due to a malpositioned acetabular component following THA.
U2 - 10.5301/hipint.5000443
DO - 10.5301/hipint.5000443
M3 - SCORING: Journal article
C2 - 27886357
VL - 27
SP - 128
EP - 133
JO - HIP INT
JF - HIP INT
SN - 1120-7000
IS - 2
ER -