Trousdale R T, Cabanela M E, Berry D J
Department of Orthopedics, Mayo Clinic/Mayo Foundation, Rochester, Minnesota 55905, USA.
J Arthroplasty. 1995 Aug;10(4):546-9. doi: 10.1016/s0883-5403(05)80160-3.
Pain after total hip arthroplasty (THA) can be caused by a multitude of conditions, including infection, aseptic loosening, heterotopic ossification, and referred pain. It is also recognized that soft tissue inflammation about the hip, such as trochanteric bursitis, can lead to hip pain after THA. Two cases of persistent iliopsoas tendinitis following THA are reported, which are believed to be caused by psoas tendon impingement against a malpositioned, uncemented, metal-backed acetabular component. The authors are unaware of previous reports of this problem, and suggest that the problem be considered in the differential diagnosis of groin pain following THA.
全髋关节置换术（THA）后的疼痛可能由多种情况引起，包括感染、无菌性松动、异位骨化和牵涉痛。人们还认识到，髋关节周围的软组织炎症，如转子滑囊炎，可导致THA后髋关节疼痛。本文报告了2例THA后持续性髂腰肌肌腱炎病例，据信这是由于腰大肌肌腱撞击位置不当、未骨水泥固定的金属背衬髋臼组件所致。作者未发现此前关于该问题的报道，并建议在THA后腹股沟疼痛的鉴别诊断中考虑这一问题。
