Younis Zubair, Hamid Muhammad A, Ravi Balu, Abdullah Faliq, Al-Naseri Ahmed, Bitar Khaldoun
Orthopedics, Royal Wolverhampton NHS Trust, Wolverhampton, GBR.
Orthopedic Surgery, University Hospitals Birmingham, Birmingham, GBR.
Cureus. 2025 May 3;17(5):e83391. doi: 10.7759/cureus.83391. eCollection 2025 May.
Iliopsoas impingement is a growingly acknowledged yet frequently overlooked cause of persistent groin pain after total hip arthroplasty (THA), occurring in a small percentage of patients undergoing the procedure. It typically results from mechanical irritation of the iliopsoas tendon by anterior acetabular component overhang, retained cement, long screws, or other prosthetic hardware. Clinically, patients report pain that worsens with active hip flexion, stair climbing, and transitioning from sitting to standing. Diagnosis involves a combination of clinical assessment, imaging techniques such as radiographs, CT scans, or ultrasound, and confirmatory image-guided diagnostic injections. Conservative management, including physiotherapy and corticosteroid injections, may offer temporary relief but is often insufficient for long-term resolution. Surgical options, particularly iliopsoas tenotomy or acetabular component revision, are indicated in refractory cases and have demonstrated high success rates with improved functional outcomes. Early recognition and appropriate intervention are critical for optimizing postoperative recovery and improving the quality of life in affected patients.
髂腰肌撞击是全髋关节置换术（THA）后持续腹股沟疼痛的一个日益被认识但常被忽视的原因，在接受该手术的一小部分患者中出现。它通常是由髋臼前侧组件悬垂、残留骨水泥、长螺钉或其他假体硬件对髂腰肌肌腱的机械性刺激所致。临床上，患者报告在主动髋关节屈曲、爬楼梯以及从坐姿转换为站姿时疼痛加剧。诊断包括临床评估、影像学技术如X线片、CT扫描或超声检查，以及确认性的影像引导诊断性注射。保守治疗，包括物理治疗和皮质类固醇注射，可能会提供暂时缓解，但往往不足以实现长期治愈。手术选择，特别是髂腰肌切断术或髋臼组件翻修术，适用于难治性病例，并已显示出高成功率和改善的功能结果。早期识别和适当干预对于优化术后恢复和改善受影响患者的生活质量至关重要。
