title: Iliopsoas impingement after revision total hip arthroplasty treated with iliopsoas muscle transection.
abstract: BACKGROUND
  Iliopsoas tendinitis after revision total hip arthroplasty (THA) is rare and its etiology and optimal treatment are still unclear. We report a case of iliopsoas impingement after revision THA with a Kerboull acetabular reinforcement device requiring two-level iliopsoas muscle transection.
  
  
  METHODS
  A 70-year-old woman presented to our hospital complaining of debilitating right groin pain after revision THA with a Kerboull reinforcement device. She had undergone multiple hip operations after experiencing a pelvic fracture in a motor vehicle accident. A lidocaine nerve block at the level of the Kerboull device resulted in temporary but marked reduction in pain and a diagnosis of psoas impingent. We performed surgery via an anterior approach to release the iliopsoas muscle from the lesser trochanter. After iliopsoas tenotomy was performed, the muscle was still under high tension because of dense adhesions. Repeat transection of the iliopsoas muscle at the level of the anterior branch of the Kerboull device resulted in loosening of the iliopsoas muscle and resolution of impingement. Postoperatively, the patient's groin pain completely disappeared, and she can now walk with a single cane and is satisfied with her result.
  
  
  CONCLUSIONS
  Adhesions around the iliopsoas muscle likely contributed to the patient's groin pain. Open surgery to perform complete release of iliopsoas muscle impingement should be considered in patients with pain after revision THA.
  
  
  CONCLUSIONS
  We reported a patient with Iliopsoas tendinitis after revision THA requiring two-level iliopsoas muscle transection.
authors.affiliation: Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, Japan.
authors.forename: Itaru
authors.initials: I
authors.lastname: Morohashi
authors.affiliation: Department of Orthopaedic Surgery, Juntendo University, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Homma
authors.affiliation: Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, Japan.
authors.forename: Akio
authors.initials: A
authors.lastname: Kanda
authors.affiliation: Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Yamamoto
authors.affiliation: Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Obata
authors.affiliation: Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, Japan.
authors.forename: Atsuhiko
authors.initials: A
authors.lastname: Mogami
authors.affiliation: Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Obayashi
authors.affiliation: Department of Orthopaedic Surgery, Juntendo University, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Kaneko
keywords: Groin pain; Iliopsoas; Iliopsoas impingement; Total hip arthroplasty