Sampson Matthew J, Rezaian Nimah, Hopkins James M K
Benson Radiology, North Adelaide, South Australia, Australia; Department of Radiology, Repatriation General Hospital, Adelaide, South Australia, Australia; Flinders University, Adelaide, South Australia, Australia.
J Med Imaging Radiat Oncol. 2015 Apr;59(2):195-9. doi: 10.1111/1754-9485.12279. Epub 2015 Feb 11.
Iliopsoas impingement is a commonly recognised source of groin pain following total hip replacement. When conservative measures fail, open or arthroscopic iliopsoas tendon release can reliably alleviate pain and improve function. This article describes an alternative ultrasound-guided percutaneous technique, achieving iliopsoas tenotomy utilising a modified 18G coaxial needle and thus minimising the morbidity and cost associated with an open or arthroscopic procedure. This method proved successful with resultant complete resolution of patient symptoms. To the knowledge of the authors, this is the first case of ultrasound-guided percutaneous iliopsoas tenotomy for iliopsoas impingement post total hip replacement.
髂腰肌撞击是全髋关节置换术后腹股沟疼痛的常见原因。当保守治疗无效时，开放或关节镜下髂腰肌肌腱松解术可有效缓解疼痛并改善功能。本文介绍了一种替代的超声引导下经皮技术，使用改良的18G同轴针进行髂腰肌切断术，从而将与开放或关节镜手术相关的发病率和成本降至最低。该方法被证明是成功的，患者症状完全缓解。据作者所知，这是首例超声引导下经皮髂腰肌切断术治疗全髋关节置换术后髂腰肌撞击的病例。
