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

Publication ,  Journal Article
Henderson, RA; Lachiewicz, PF
Published in: J Bone Joint Surg Br
February 2012

Persistent 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.

Published In

J Bone Joint Surg Br

DOI

EISSN

2044-5377

Publication Date

February 2012

Volume

94

Issue

2

Start / End Page

145 / 151

Location

England

Related Subject Headings

  • Reoperation
  • Prosthesis-Related Infections
  • Prosthesis Failure
  • Prevalence
  • Pain, Postoperative
  • Orthopedics
  • Humans
  • Hip Prosthesis
  • Groin
  • Arthroplasty, Replacement, Hip
 

Citation

APA
Chicago
ICMJE
MLA
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Henderson, R. A., & Lachiewicz, P. F. (2012). Groin pain after replacement of the hip: aetiology, evaluation and treatment. J Bone Joint Surg Br, 94(2), 145–151. https://doi.org/10.1302/0301-620X.94B2.27736
Henderson, R. A., and P. F. Lachiewicz. “Groin pain after replacement of the hip: aetiology, evaluation and treatment.J Bone Joint Surg Br 94, no. 2 (February 2012): 145–51. https://doi.org/10.1302/0301-620X.94B2.27736.
Henderson RA, Lachiewicz PF. Groin pain after replacement of the hip: aetiology, evaluation and treatment. J Bone Joint Surg Br. 2012 Feb;94(2):145–51.
Henderson, R. A., and P. F. Lachiewicz. “Groin pain after replacement of the hip: aetiology, evaluation and treatment.J Bone Joint Surg Br, vol. 94, no. 2, Feb. 2012, pp. 145–51. Pubmed, doi:10.1302/0301-620X.94B2.27736.
Henderson RA, Lachiewicz PF. Groin pain after replacement of the hip: aetiology, evaluation and treatment. J Bone Joint Surg Br. 2012 Feb;94(2):145–151.

Published In

J Bone Joint Surg Br

DOI

EISSN

2044-5377

Publication Date

February 2012

Volume

94

Issue

2

Start / End Page

145 / 151

Location

England

Related Subject Headings

  • Reoperation
  • Prosthesis-Related Infections
  • Prosthesis Failure
  • Prevalence
  • Pain, Postoperative
  • Orthopedics
  • Humans
  • Hip Prosthesis
  • Groin
  • Arthroplasty, Replacement, Hip