Physical therapy management of a patient with persistent groin pain after total hip arthroplasty and iliopsoas tenotomy : a case report

Background: Hip impingement syndrome can occur after total hip arthroplasty (THA). Nonoperative treatment is inconsistently recommended, and surgical options include iliopsoas tenotomy. The current case report describes the unique case of a patient with persistent groin pain after THA and iliopsoas tenotomy.Case Description: The 72-year-old male had persistent groin pain after right THA and an unsuccessful iliopsoas tenotomy. He had pain and limited right hip range of motion during active and passive hip flexion, abduction, and external rotation. Treatment consisted of high-grade joint mobilization to improve the range of motion of the right hip and an exercise program.Outcomes: The patient was treated for six visits over 3 weeks. Clinically important improvements were noted in pain, function, and perceived level of improvement. Pain during hip flexion improved on the Numeric Pain Rating Scale, and function improved on the Lower Extremity Functional Scale. Improvements in the range of motion and strength were also observed. At 6-month follow-up, he reported maintenance of improvements.Discussion: Joint mobilization and exercise were effective for improving range of motion, groin pain, and function in a patient with a 4-year history of persistent groin pain after THA and subsequent iliopsoas tenotomy.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:38

Enthalten in:

Physiotherapy theory and practice - 38(2022), 3 vom: 31. März, Seite 481-491

Sprache:

Englisch

Beteiligte Personen:

Peterson, Seth [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Hip replacement
Iliopsoas impingement
Iliopsoas tendinopathy
Journal Article
Manipulation

Anmerkungen:

Date Completed 16.02.2022

Date Revised 16.02.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/09593985.2020.1768458

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM311229522