2023 Annual Meeting Hip Access Pass *Non-CME*-Iliopsoas Tendon Pathology: How to Manage in 2023

Video Transcription

Video Summary

In this video, Andrea Herzga discusses the management of ileo psoas pathology in 2023. Ileo psoas pathology encompasses various conditions such as bursitis, tendonitis, and internal snapping hip syndrome. Traditional treatment involves nonoperative methods like physical therapy, which has generally good results. However, in cases of refractory painful snapping, ileo psoas tenotomy can be considered. Risks of tenotomy include weakness, atrophy, and hip dislocation. Studies suggest that tenotomy may not be necessary for patients with incidental ileo psoas impingement without painful snapping. Successful tenotomy depends on various factors such as experienced surgeons, strict criteria, and appropriate postoperative care. A prospective randomized trial is needed to determine the effectiveness of tenotomy. Indications and contraindications for tenotomy are also discussed. The video concludes by stating that the painful internal snapping hip is a symptomatic condition that often indicates an underlying problem and should be treated accordingly. No credits were mentioned in the transcript.

Asset Caption

Andrea S. Herzka, M.D.

Keywords

ileo psoas pathology

internal snapping hip syndrome

ileo psoas tenotomy

prospective randomized trial

indications