title: Ultrasound-guided percutaneous tenotomy for the treatment of iliopsoas impingement: a description of technique and case study.
abstract: Iliopsoas impingement is a commonly recognised source of groin pain following total hip replacement. When conservative measures fail, open or arthroscopic iliopsoas tendon release can reliably alleviate pain and improve function. This article describes an alternative ultrasound-guided percutaneous technique, achieving iliopsoas tenotomy utilising a modified 18G coaxial needle and thus minimising the morbidity and cost associated with an open or arthroscopic procedure. This method proved successful with resultant complete resolution of patient symptoms. To the knowledge of the authors, this is the first case of ultrasound-guided percutaneous iliopsoas tenotomy for iliopsoas impingement post total hip replacement.
authors: Benson Radiology, North Adelaide, South Australia, Australia; Department of Radiology, Repatriation General Hospital, Adelaide, South Australia, Australia; Flinders University, Adelaide, South Australia, Australia.
authors: Matthew J
authors: MJ
authors: Sampson
authors: Nimah
authors: N
authors: Rezaian
authors: James M K
authors: JM
authors: Hopkins
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D004867:Equipment Design; D057925:Femoracetabular Impingement / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009339:Needles; D025321:Surgery, Computer-Assisted / Q000295:instrumentation* / Q000379:methods; D053682:Tendon Entrapment / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D058971:Tenotomy / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome; D014463:Ultrasonography / Q000295:instrumentation / Q000379:methods*
keywords: musculoskeletal imaging; nonvascular interventional radiology; ultrasound