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Recurrent Hematomas Within the Iliopsoas Muscle Caused by Impingement After Total Hip Arthroplasty

Authors
Journal
The Journal of Arthroplasty
0883-5403
Publisher
Elsevier
Publication Date
Volume
26
Issue
4
Identifiers
DOI: 10.1016/j.arth.2010.04.002
Keywords
  • Total Hip Arthroplasty
  • Hematoma
  • Iliopsoas Impingement

Abstract

Abstract Impingement of the iliopsoas muscle after total hip arthroplasty is a potential cause of postoperative groin pain. In addition, hematoma within the iliopsoas sheath has been documented as a cause of groin pain in patients on long-term anticoagulation. We present the case of a patient on long-term anticoagulation presenting after total hip arthroplasty with recurrent, symptomatic iliopsoas sheath hematomas. We believe this was due to iliopsoas impingement caused by a malpositioned acetabular component. His pain was relieved after revision of the acetabular component and debridement of the inflamed psoas tendon.

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