• J Bone Joint Surg Br · Feb 2012

    Review

    Groin pain after replacement of the hip: aetiology, evaluation and treatment.

    • R A Henderson and P F Lachiewicz.
    • Duke University Medical Center, 201 Trent Drive, Durham, North Carolina 27710, USA.
    • J Bone Joint Surg Br. 2012 Feb 1; 94 (2): 145-51.

    AbstractPersistent groin pain after seemingly successful total hip replacement (THR) appears to have become more common. Recent studies have indicated a high incidence after metal-on-polyethylene and metal-on-metal conventional THR and it has been documented in up to 18% of patients after metal-on-metal resurfacing. There are many causes, including acetabular loosening, stress fracture, and iliopsoas tendonitis and impingement. The evaluation of this problem requires a careful history and examination, plain radiographs and an algorithmic approach to special diagnostic imaging and tests. Non-operative treatment is not usually successful. Specific operative treatment depending on the cause of the pain usually involves revision of the acetabular component, iliopsoas tenotomy or other procedures, and is usually successful. Here, an appropriate algorithm is described.

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