Arthroscopic Technique for Iliopsoas Fractional Lengthening for Symptomatic Internal Snapping of the Hip, Iliopsoas Impingement Lesion, or Both
Authors
Chandrasekaran S, Close MR, Walsh JP, Chaharbakhshi EO, Lodhia P, Mohr MR, Domb BG
Journal: Arthrosc Tech. 2018 Aug 16;7(9):e915-e919.
DOI: 10.1016/j.eats.2018.06.001
PMID: 30258772
Background
Iliopsoas impingement and internal snapping of the hip are caused by the pathology of the iliopsoas tendon. This condition can result in pain and labral damage. Arthroscopic iliopsoas fractional lengthening has shown promising outcomes.
Methods
This article describes a step-by-step technique for arthroscopic iliopsoas fractional lengthening, focusing on indications, procedural steps, and potential pitfalls. It also discusses the importance of addressing other soft tissue issues like the labrum and capsule when performing this procedure.
Key Findings
The technique is effective in treating internal snapping and impingement. However, additional management of other hip structures is critical for optimal outcomes.
Conclusions
Arthroscopic iliopsoas fractional lengthening is a valuable technique for managing iliopsoas-related hip symptoms, but it should be performed with careful attention to the overall hip instability and associated injuries.
What Does This Mean for Patients
Patients suffering from internal snapping or impingement of the hip may benefit from this arthroscopic technique, with less invasive recovery compared to open procedures.
DOI: 10.1016/j.eats.2018.06.001