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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2020; 8(21): 5326-5333
Published online Nov 6, 2020. doi: 10.12998/wjcc.v8.i21.5326
Published online Nov 6, 2020. doi: 10.12998/wjcc.v8.i21.5326
Arthroscopic treatment of iliopsoas tendinitis after total hip arthroplasty with acetabular cup malposition: Two case reports
Heejae Won, Kwang-Hwan Kim, Jae-Wook Jung, Shin-Yoon Kim, Seung-Hoon Baek, Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-Gu, Daegu 41944, South Korea
Author contributions: Each author took part in the design of the study, contributed to acquisition of data, analysis and interpretation of data and agreed to accept equal responsibility for the accuracy of the content of the paper; all authors participated in drafting the article or revising it critically for important intellectual content and gave final approval of the version to be submitted and any revised version.
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Corresponding author: Seung-Hoon Baek, MD, PhD, Associate Professor, Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-Gu, Daegu 41944, South Korea. insideme@paran.com
Received: April 27, 2020
Peer-review started: April 27, 2020
First decision: September 24, 2020
Revised: October 6, 2020
Accepted: October 26, 2020
Article in press: October 26, 2020
Published online: November 6, 2020
Processing time: 193 Days and 0.8 Hours
Peer-review started: April 27, 2020
First decision: September 24, 2020
Revised: October 6, 2020
Accepted: October 26, 2020
Article in press: October 26, 2020
Published online: November 6, 2020
Processing time: 193 Days and 0.8 Hours
Core Tip
Core Tip: Optimal treatment for iliopsoas tendinitis combined with cup malposition is controversial. Ultrasonography-guided analgesic injection is useful in therapeutic diagnosis. If conservative treatment fails, cup revision or iliopsoas tendon (IPT) release with cup retention can be considered. Acetabular correction of malposition of well-fixed component might be ideal especially in young, active patients but is usually refused because of symptoms are subtle. Arthroscopic IPT release can provide better access to evaluate the exact location of lesions and other potential problems related to total hip arthroplasty and may be a useful alternative surgical option for preventing recurrence of groin pain.