Ultrasound-Guided Iliopsoas Tenotomy for Iliopsoas Tendon Impingement: Surgical Technique in Cadaveric Models

Abstract

Iliopsoas tendon impingement after total hip replacement has been reported with an incidence of up to 8.3%. Iliopsoas tendon impingement has also been observed in young active patients engaged in extreme sports. In such cases, surgical iliopsoas tendon release or tenotomy may be considered to improve anterior hip pain and function. Currently, iliopsoas tenotomy is performed either in an open manner or arthroscopically. This article describes a surgical technique using percutaneous ultrasound-guided iliopsoas tenotomy in cadaveric models. We perform the release at the acetabulum because it is safe and provides good sonographic visualization. This study describes the effectiveness of percutaneous iliopsoas tendon tenotomy under ultrasound guidance. However, clinical studies are warranted to confirm these findings. This minimally invasive procedure opens opportunities for clinical applications, comparing outcomes with those of standard approaches and conducting cost analyses. It may offer a cost-effective outpatient clinic option with local anesthesia, avoiding operating room expenses.