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Psoas Tenotomy

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Hip Preservation Surgery

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Abstract

Iliopsoas im**ement can be divided into two different clinical entities: arthroplasty related and non-arthroplasty related. Both cause groin pain due to an abnormal mechanical contact of the iliopsoas with adjacent structures.

In patients, following a total hip replacement (THR), it occurs due to anterior oversized socket or excess retroversion, or less commonly due to excessive stem anteversion. In advanced osteoarthritis, an anterior osteophyte could potentially abut against the tendon.

However, in young athletes, non-arthroplasty iliopsoas im**ement is commonly observed and is also termed as the ‘internal snap** hip syndrome’. The condition usually occurs in individuals engaged in demanding activities such as dancing, soccer, rugby and tennis. The pathophysiology is based on focal lesions seen at the 3 o’clock postion of the labrum in the right hip.

Treatment algorithms should be based on the aetiology and a well-supported conservative regime should be the first line of management. If conservative therapy fails, then surgical intervention should be attempted, and the specific techniques for arthroscopic release of iliopsoas are discussed in this chapter.

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Acknowledgments

The authors would like to acknowledge Ms. Tinca Rusu, Faculty of Architecture, University of Huddersfield for her illustrations.

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Authors and Affiliations

  1. Department of Orthopaedics, Balgrist University Hospital, Zürich, Switzerland

    Octavian Andronic

  2. Young Adult Hip Service, Department of Trauma and Orthopaedics, Addenbrooke’s—Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

    Octavian Andronic & Vikas Khanduja

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  1. Octavian Andronic
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  2. Vikas Khanduja
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Correspondence to Vikas Khanduja .

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Editors and Affiliations

  1. Hip and Sports Medicine Unit, Lyon Ortho Clinic, Clinique de la Sauvegarde, Lyon, France

    Nicolas Bonin

  2. Hip Department (CAD), Gaetano Pini - CTO Orthopedic Institute, University of Milan, Milan, Italy

    Filippo Randelli

  3. Young Adult Hip Service, Addenbrooke’s - Cambridge University Hospital, Cambridge, UK

    Vikas Khanduja

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Andronic, O., Khanduja, V. (2020). Psoas Tenotomy. In: Bonin, N., Randelli, F., Khanduja, V. (eds) Hip Preservation Surgery . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61186-9_25

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  • DOI: https://doi.org/10.1007/978-3-662-61186-9_25

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  • Print ISBN: 978-3-662-61185-2

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