A Case of Iliopsoas Bursitis With Compressive Femoral Nerve Palsy Treated With Iliopsoas Tendon Release

Jordan Conroy; Sandi Caus; Nathaniel J Nelms

doi:10.1016/j.artd.2022.02.004

A Case of Iliopsoas Bursitis With Compressive Femoral Nerve Palsy Treated With Iliopsoas Tendon Release

Arthroplast Today. 2022 Mar 18:14:148-153. doi: 10.1016/j.artd.2022.02.004. eCollection 2022 Apr.

Authors

Jordan Conroy¹, Sandi Caus², Nathaniel J Nelms¹

Affiliations

¹ Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington, VT, USA.
² The Robert Larner College of Medicine at the University of Vermont, Burlington, VT, USA.

Abstract

Iliopsoas bursitis is a well-established cause of groin pain after total hip arthroplasty (THA), and it can become dramatically more complex when associated with neurovascular compression. Iliopsoas bursitis may be caused by a variety of pathologies in the setting of a THA but most frequently due to a prominent acetabular component or implant wear. Here we report a rare case of a female patient presenting with iliopsoas tendonitis, an accompanying femoral nerve palsy, and debilitating pain beginning 12 years after a previously successful primary THA without apparent implant wear. Ultimately, our patient was treated successfully with iliopsoas tendon release for anterior prominence of the acetabular component.

Keywords: Femoral nerve palsy; Iliopsoas bursitis; Iliopsoas tendonitis; Total hip arthroplasty.

Publication types

Case Reports