Specialized Toolkit Series: Arthroscopic Hip Treatments-Iliopsoas Impingement & Snapping

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Video Summary

The presentation explores iliopsoas impingement and snapping, often following total hip arthroplasty, occurring in 0.4 to 4.3% of cases. It's characterized by anterior groin pain and hip flexion weakness. Risk factors include acetabular component overhang. Non-operative management focuses on activity evaluation, infection exclusion, and cup position assessment, alongside physical therapy for iliopsoas offloading. Iliopsoas bursal injections can offer diagnostic and therapeutic benefits. Surgical techniques, like arthroscopic iliopsoas fractional lengthening, target various impingement causes, aiming to alleviate symptoms by increasing the tendon-muscle distance while preserving muscle integrity.

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Mario Hevesi, M.D., Ph.D.

Keywords

iliopsoas impingement

total hip arthroplasty

anterior groin pain

non-operative management

arthroscopic iliopsoas lengthening