Groin Pain After THA

Description

This video discusses the common occurrence of pain and other symptoms following hip arthroplasty surgery, emphasizing the importance of thorough clinical assessment and imaging to identify the causes. Pain on resisted hip flexion may indicate psoas impingement, but other factors such as the positioning of the acetabular component, large femoral heads, and osteophytes must also be considered. The video highlights advancements in imaging techniques, particularly CT and MRI scans with metal artifact reduction, enabling more detailed investigations of both the acetabulum and femoral positioning. Moreover, it stresses the significance of meticulous surgical planning and the use of 3D technologies to ensure proper placement of components during surgery. The role of impingement injections for diagnosis and treatment is mentioned, along with the potential need for hip arthroscopy or component revision if non-invasive measures fail. The overall message is that while complications post-surgery can be complex, modern imaging and surgical techniques have greatly improved the diagnosis and treatment of post-arthroplasty pain.

DOI: 10.1302/3114-251118

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