Delayed Onset Iliopsoas Tendonitis With Intramuscular Hematoma Following Total Hip Arthroplasty.

IF 1.5 Q3 ORTHOPEDICS
Arthroplasty Today Pub Date : 2024-12-09 eCollection Date: 2024-12-01 DOI:10.1016/j.artd.2024.101589
Kevin S Orton, Jonathan M Stern, Natalia Cruz-Ossa, Freddy A Hung, Antonio Fernandez-Perez, Jean Jose, Victor Hugo Hernandez
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引用次数: 0

Abstract

Iliopsoas tendonitis following total hip arthroplasty (THA) can be challenging to diagnose due to the many causes of postoperative groin pain. This case involves a 66-year-old female with right-sided hip and groin pain and a palpable mass, 3 years post-THA. Initial recovery was unremarkable until the sudden onset of symptoms after exercise. The patient presented with a palpable mass on the groin area and pain and underwent several consults with general surgery and orthopaedics. A series of unremarkable radiogram, biopsies, and negative infectious workup prompted revision surgery, which included acetabular component revision and iliopsoas tenotomy. The patient experienced significant pain relief and improved mobility postrevision. This case highlights a complication of THA and the complexity of diagnosing and treating iliopsoas tendonitis post-THA.

全髋关节置换术后迟发性髂腰肌肌腱炎伴肌肉内血肿。
全髋关节置换术后髂腰肌肌腱炎的诊断具有挑战性,因为术后腹股沟疼痛的原因很多。该病例涉及一名66岁女性,tha术后3年,右侧髋关节和腹股沟疼痛并可触及肿块。最初的恢复并不显著,直到运动后突然出现症状。患者表现为腹股沟区可触及的肿块和疼痛,接受了几次普通外科和骨科咨询。一系列平淡无奇的x线片、活检和阴性感染检查促使患者进行翻修手术,包括髋臼部件翻修和髂腰肌肌腱切断术。术后患者疼痛明显缓解,活动能力改善。这个病例强调了髋关节置换术的并发症以及髋关节置换术后髂腰肌肌腱炎的诊断和治疗的复杂性。
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来源期刊
Arthroplasty Today
Arthroplasty Today Medicine-Surgery
CiteScore
2.90
自引率
0.00%
发文量
258
审稿时长
40 weeks
期刊介绍: Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.
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