Iliosoas Tendinitis after Total Hip Arthroplasty: A Case Report

  • Arakaki Kaoru
    Department of Orthopedic Surgery, University of the Ryukyus, Okinawa, Japan
  • Owan Ichiro
    Department of Orthopedic Surgery, University of the Ryukyus, Okinawa, Japan
  • Sunakawa Norimasa
    Department of Orthopedic Surgery, University of the Ryukyus, Okinawa, Japan
  • Omine Akira
    Department of Orthopedic Surgery, University of the Ryukyus, Okinawa, Japan
  • Yamaguchi Takeshi
    Department of Orthopedic Surgery, University of the Ryukyus, Okinawa, Japan
  • Shiroma Takashi
    Department of Orthopedic Surgery, University of the Ryukyus, Okinawa, Japan
  • Ikema Yasunari
    Department of Orthopedic Surgery, University of the Ryukyus, Okinawa, Japan
  • Kanaya Fuminori
    Department of Orthopedic Surgery, University of the Ryukyus, Okinawa, Japan

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Other Title
  • 人工股関節置換術後の腸腰筋腱炎の1例

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Abstract

We report a 56-year-old female patient with persistent groin pain after total hip arthroplasty (THA). The patient began to complain of groin pain four months after THA. The pain increased with active flexion and passive hyperextension of the hip joint. There were no signs of infection or aseptic loosening of the components. Contrast arthrography showed iliopsoas tendon was enhanced in the anterior region of the acetabular rim, and intra-articular injection of lidocaine relieved the pain. Conservative treatment was ineffective and fibrotic thickened iliopsoas tenotomy was performed. There was no: recurrence, and the patient remains asymptomatic two years after surgery.

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