全髋关节置换术后螺钉穿透髂腰肌导致迟发性疼痛：一例报告。
Screw penetration of the iliopsoas muscle causing late-onset pain after total hip arthroplasty: A case report.
作者信息
Park Hyung-Seok, Lee Sang-Hong, Cho Hong-Man, Choi Hyun-Bai, Jo Suenghwan
机构信息
Department of Orthopaedic Surgery, Chosun University Hospital, Gwangju 61453, South Korea.
Department of Orthopedics, Gwangju Veterans Hospital, Gwangju 62284, South Korea.
出版信息
World J Clin Cases. 2021 Nov 16;9(32):10006-10012. doi: 10.12998/wjcc.v9.i32.10006.
BACKGROUND
Postoperative pain following total hip arthroplasty (THA) may occur in a few patients but may pose a significant challenge to surgeons if the etiology is not identified. Herein, we report the case of a patient who developed late-onset pain following THA due to screw penetration of the iliopsoas tendon.
CASE SUMMARY
We report the case of a 77-year-old man who developed inguinal pain 7 years after THA. While the symptoms resembled that of iliopsoas impingement by the acetabular cup, the pain resolved only when the supplementary acetabular screw protruding through the ilium was decompressed. Decompression was performed using the pararectus approach. The patient was able to ambulate pain-free immediately after surgery.
CONCLUSION
A protruded screw through the ilium may penetrate the iliopsoas muscle, causing pain following THA. Pain may resolve with the decompression of the protruded screw.
背景
全髋关节置换术（THA）后，少数患者可能会出现术后疼痛，但如果病因不明，可能会给外科医生带来重大挑战。在此，我们报告一例全髋关节置换术后因螺钉穿透髂腰肌肌腱而出现迟发性疼痛的患者病例。
病例摘要
我们报告一例77岁男性患者，在全髋关节置换术后7年出现腹股沟疼痛。虽然症状类似于髋臼杯对髂腰肌的撞击，但只有当突出穿过髂骨的髋臼辅助螺钉减压后，疼痛才得以缓解。采用腹直肌旁入路进行减压。患者术后立即能够无痛行走。
结论
穿过髂骨突出的螺钉可能会穿透髂腰肌，导致全髋关节置换术后疼痛。突出螺钉减压后疼痛可能会缓解。
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