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Ultrasound diagnosis of anterior iliopsoas impingement in total hip replacement

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Abstract

Iliopsoas impingement syndrome, an infrequent complication of total hip replacement, has been rarely reported in the radiological literature. It follows chronic friction of the posterior aspect of the iliopsoas muscle and tendon against the acetabular cup, a piece of cement, or cup fixation screws. Clinical findings are non-specific and an imaging modality is required to diagnose the condition. Computed tomography (CT) is considered the gold standard imaging modality in evaluating iliopsoas impingement. We report a case of a patient in which the diagnosis was made by ultrasound and later confirmed by CT.

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Authors and Affiliations

  1. Fondation Grangettes, 7, ch. des Grangettes, 1224, Chêne-Bougeries, Switzerland

    Stefano Bianchi

  2. Département de Radiologie, Hôpital de Riaz, Riaz, Canton Fribourg, Switzerland

    Ridha Rezig

  3. Département de Radiologie, Division de Radiodiagnostic et de radiologie interventionnelle, Hôpital cantonal Universitaire de Genève, 1211, Geneva 14, Switzerland

    Michele Copercini & Xavier Montet

  4. GEL—Groupement des Echographistes de l’Appareil Locomoteur

    Michele Copercini, Carlo Martinoli & Stefano Bianchi

  5. Cattedra di Radiologia “R”, DICMI-Università di Genova, Largo Rosanna Benzi 8, 16132, Genova, Italy

    Carlo Martinoli

Authors
  1. Ridha Rezig
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  2. Michele Copercini
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  3. Xavier Montet
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  4. Carlo Martinoli
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  5. Stefano Bianchi
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Correspondence to Stefano Bianchi.

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Rezig, R., Copercini, M., Montet, X. et al. Ultrasound diagnosis of anterior iliopsoas impingement in total hip replacement. Skeletal Radiol 33, 112–116 (2004). https://doi.org/10.1007/s00256-003-0703-4

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  • DOI: https://doi.org/10.1007/s00256-003-0703-4

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