Quesada-Jimenez Roger, Kahana-Rojkind Ady H, Flynn Megan E, Wallace Isabella A, Patel Dharma H, Domb Benjamin G
American Hip Institute, Chicago, Illinois, U.S.A.
American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
Arthrosc Tech. 2025 May 8;14(7):103579. doi: 10.1016/j.eats.2025.103579. eCollection 2025 Jul.
Iliopsoas tendinitis is a potential cause of persistent anterior hip pain after total hip arthroplasty. After infection and aseptic loosening are ruled out, the diagnosis is primarily based on clinical suspicion and radiographic analysis and is confirmed through ultrasound-guided injections. In refractory cases, surgical intervention may be required. We present a step-by-step endoscopic technique for fractional lengthening of the iliopsoas tendon. By addressing the tendon at the musculotendinous junction, this approach minimizes the impact on hip flexion and strength.
髂腰肌肌腱炎是全髋关节置换术后持续性髋关节前部疼痛的一个潜在原因。在排除感染和无菌性松动后，诊断主要基于临床怀疑和影像学分析，并通过超声引导下注射得以证实。在难治性病例中，可能需要手术干预。我们介绍一种用于髂腰肌肌腱分次延长的分步内镜技术。通过在肌骨连接处处理肌腱，这种方法可将对髋关节屈曲和力量的影响降至最低。
