Total Hip Arthroplasty: Groin Pain

Description

Dr Jonathan Vigdorchik gives his insights whilst discussing the assessment and management of psoas tendonitis, particularly in patients post-hip replacement. He begins by demonstrating how to test for psoas tendon involvement through resisted hip flexion, which can elicit pain in cases of tendonitis. If pain is present, the next steps include administering a cortisone injection to relieve discomfort. If successful, options such as a psoas tenotomy or revision of the acetabular component are considered, depending on the positioning of the component. The speaker highlights the implications of femoral offsets, noting that increased offsets can lead to psoas tendonitis, similar to how they can cause lateral bursitis symptoms. If injections do not alleviate the pain, revision surgery may not be effective, and surgical tenotomy may be necessary.

DOI: 10.1302/3114-251137

Specialties