medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2010, Number 1

<< Back Next >>

Acta Ortop Mex 2010; 24 (1)

Internal coxa saltans in total hip arthroplasty. Case report

Gómez GF

Language: Spanish
References: 15
Page: 18-22
PDF size: 109.55 Kb.


ABSTRACT

Coxa saltans or snapping hip, in its internal and external varieties, is a well-known syndrome in the coxofemoral orthopedic pathology. The internal variety is less frequent and is rather unusual after a total hip arthroplasty (THA). This disorder is often times mistaken with chronic groin pain after a THA. This paper describes a typical case of snapping hip in the setting of THA and helps recognize the clinical differences between both entities, with a description of the signs and symptoms that characterize them. In order to support the etiology and pathogenesis, the diagnosis and treatment, we include anatomical considerations concerning the variants of the iliopsoas musculo-tendinous complex attachment, its relations with the articular capsule and the iliopectineal bursa. The role of implant malpositioning in this entity is reviewed and the usefulness of various diagnostic and treatment methods is discussed.


REFERENCES

  1. William CA, Cope R J: Coxa saltans: The Snapping Hip Revised. L Am Acad Orthop Surg 1995; 3: 303-8.

  2. Lyons JC: The snapping iliopsoas tendon. Mayo Clin Proc 1984; 59: 327-9.

  3. Beals RK: Painful snapping hip in young adults. West J Med 1993; 149: 481-2.

  4. Taher RT, Power RA: Iliopsoas tendon dysfunction as a cause of pain after total hip arthroplasty relieved by surgical release. J Arthoplasty 2003; 18(3): 387-8.

  5. Lachiewicz PF, KauK JR: Anterior iliopsoas impingement and tendinitis after total hip arthroplasty. J Am Acad Orthop Surg 2009; 17(6): 337-44.

  6. Ilizaliturri VM Jr, Villalobos FE Jr, Chaidez PA, Valero FS, Aguilera JM: Internal snapping hip syndrome: Treatment by endoscopic releases of the iliopsoas tendon. Arthroscopy 2005; 21(11): 1375-80.

  7. Ludloff K: Zur blutigen Einrenkung der angeborenen Huftluxation. Zeitschr Orthop Chir 1908; 22: 272-6.

  8. Bricteux S, Beguin L, Fessy MH: Iliopsoas impingement in 12 patients with a total hip arthroplasty. Rev Chir Orthop Reparatrice Appar Mot 2001; 87: 820-5.

  9. Polster JM, Elgabaly M, Lee H, Klika A, Drake R, Barsoum W: MRI and gross anatomy of the iliopsoas tendon complex. Skeletal Radiol 2008; 37: 55-8.

  10. O’Sullivan M, Tai CC, Richards S, Skyrme AD, Walter WL, Walter WK: Iliopsoas tendonitis a complication after total hip arthroplasty. J Arthroplasty 2007; 22: 166-70.

  11. Kolmert L, Persson BM, Herrilin K, Ekelund L: Iliopectineal bursitis following total hip replacement. Acta Orthop Scand 1984; 55: 63-5.

  12. Gatch WD, Green WT: Cysts of iliopsoas bursa. Am Surg 1925; 82: 277.

  13. Chandler SB: The Iliopsoas bursa in man. Anat Rec 1934; 58: 235.

  14. Harper MC, Schaberg JE, Allen WC: Primary iliopsoas bursography in the diagnosis of disorders of the hip. Cl Orthop 1987; 221: 238-41.

  15. Fish DE, Chang WS: Treatment of iliopsoas tendinitis after a left total hip arthroplasty with botulinum toxin type A. Pain Physician 2007; 10: 565-71.




2020     |     www.medigraphic.com