2023 Annual Meeting Hip Access Pass-Iliopsoas Tendon Pathology: How to Manage in 2023

Iliopsoas Tendon Pathology: How to Manage in 2023

Video Transcription

Video Summary

Dr. Andrea Herzga discusses ileo psoas pathology management in 2023, emphasizing challenges distinguishing it from hip joint issues. Psoas syndrome includes bursitis and tendonitis, with painful internal snapping hip being a key symptom. Non-operative treatment, mainly physical therapy, typically yields good results. Ileo psoas tenotomy is considered for refractory cases but carries risks like hip weakness and instability. Suitable candidates lack dysplasia, hypermobility, and have femoral version under 25 degrees. Successful surgery requires experienced surgeons, careful patient selection, and post-op rehab. The painful internal snapping hip often signals underlying problems rather than being the primary cause.

Asset Caption

Andrea S. Herzka, M.D.

Keywords

ileo psoas pathology

psoas syndrome

non-operative treatment

ileo psoas tenotomy

painful internal snapping hip