Iliosoas Tendinitis after Total Hip Arthroplasty: A Case Report

Abstract

We report a 56-year-old female patient with persistent groin pain after total hip arthroplasty (THA). The patient began to complain of groin pain four months after THA. The pain increased with active flexion and passive hyperextension of the hip joint. There were no signs of infection or aseptic loosening of the components. Contrast arthrography showed iliopsoas tendon was enhanced in the anterior region of the acetabular rim, and intra-articular injection of lidocaine relieved the pain. Conservative treatment was ineffective and fibrotic thickened iliopsoas tenotomy was performed. There was no: recurrence, and the patient remains asymptomatic two years after surgery.