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http://hdl.handle.net/1942/33695
Title: | Extra-Articular Impingement at the Anterior Inferior Iliac Spine: A Cause of Refractory Periarticular Pain After Total Hip Arthroplasty | Authors: | Luyckx, Lucas Hendrickx, Jens TIMMERMANS, Annick VANDENABEELE, Frank CORTEN, Kristoff |
Issue Date: | 2020 | Source: | Arthroplasty Today, 6 (4) , p. 845 -849 | Abstract: | Background: Periarticular pain after total hip arthroplasty (THA) can significantly impair the post-operative functionality. Extra-articular impingement between the greater trochanter and the anterior inferior iliac spine is presented as a cause of refractive pain after THA. Methods: Twenty patients were treated for refractive periarticular pain and limited internal rotation between January 2014 and April 2016. All patients underwent a positive chair rise test, pelvic inclination test, and Marcainisation test. Patients were treated with bone resection of the anterior part of the greater trochanter with or without component revision. Results: At a mean follow-up of 20 months, all functional outcomes had improved significantly. All patients were willing to undergo the surgery again. Sixteen (80%) indicated the result as very good, 3 (15%) as good, and one (5%) as poor. Two patients developed a postoperative heterotopic ossification that required resection. Conclusions: Extra-articular impingement should be considered as a possible cause of refractive groin pain after THA. Bony resection through the Hueter interval provides immediate pain relief with improved functional outcomes 1 year after surgery. | Keywords: | Revision hip arthroplasty;Groin pain;Extra-articular impingement | Document URI: | http://hdl.handle.net/1942/33695 | ISSN: | 2352-3441 | DOI: | 10.1016/j.artd.2020.07.016 | Rights: | 2020 The Authors. Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). | Category: | A1 | Type: | Journal Contribution | Validations: | vabb 2023 |
Appears in Collections: | Research publications |
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1-s2.0-S2352344120301357-main.pdf | Published version | 993.11 kB | Adobe PDF | View/Open |
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