Recurrent hematomas within the iliopsoas muscle caused by impingement after total hip arthroplasty.
Impingement of the iliopsoas muscle after total hip arthroplasty is a potential cause of postoperative groin pain. In addition, hematoma within the iliopsoas sheath has been documented as a cause of groin pain in patients on long-term anticoagulation. We present the case of a patient on long-term anticoagulation presenting after total hip arthroplasty with recurrent, symptomatic iliopsoas sheath hematomas. We believe this was due to iliopsoas impingement caused by a malpositioned acetabular component. His pain was relieved after revision of the acetabular component and debridement of the inflamed psoas tendon.
Bartelt
Robert B
RB
Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.
Sierra
Rafael J
RJ
D000077:Acetabulum / Q000000981:diagnostic imaging; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D017760:Bone Malalignment / Q000150:complications; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009220:Myositis / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D010146:Pain / Q000209:etiology; D016658:Psoas Muscles / Q000293:injuries*; D012008:Recurrence; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome