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Iliopsoas Tendonitis Caused by Overhang of a Collared Femoral Prosthesis

Authors:	Christopher J. Brew Ian Stockley Andrew J. Grainger Martin H. Stone

Affiliation:	^? Department of Orthopaedics, Chapel Allerton Hospital Orthopaedic Centre, Leeds Teaching Hospitals NHS Trust, Leeds, West Yorkshire, UK ^† Department of Orthopaedics, Northern General Hospital, Sheffield Teaching Hospitals NHS Trust, Sheffield, South Yorkshire, UK ^‡ Department of Radiology, Chapel Allerton Hospital Orthopaedic Centre, Leeds Teaching Hospitals NHS Trust, Leeds, West Yorkshire, UK

Abstract:	Pain after total hip arthroplasty can be due to a variety of causes, one of the less common being iliopsoas tendonitis. We report an unusual case of iliopsoas tendonitis caused by overhang of the femoral calcar by a collared femoral prosthesis resulting in impingement on the iliopsoas tendon. An ultrasound-guided corticosteroid and local anesthetic diagnostic injection to the site of impingement confirmed the diagnosis with temporary symptom relief. Revision of the femoral stem to a collarless prosthesis resulted in immediate and complete resolution of symptoms.

Keywords:	total hip arthroplasty iliopsoas tendonitis groin pain
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