Key result
Percutaneous ultrasound-guided iliopsoas tenotomy proves feasible with good visualization in cadaveric models.
Why the study?
Iliopsoas tenotomy is currently performed in an open or arthroscopic manner, prompting the description of a percutaneous ultrasound-guided technique.
Does percutaneous ultrasound-guided iliopsoas tenotomy provide effective and safe release in cadaveric models?
Does percutaneous ultrasound-guided iliopsoas tenotomy provide effective and safe release in cadaveric models?
Percutaneous ultrasound-guided iliopsoas tenotomy is a feasible minimally invasive technique in cadaveric models, potentially offering a cost-effective outpatient alternative to standard surgical approaches.
Caution against clinical adoption from cadaver data alone; leaves open need for human trials on safety and efficacy.
Iliopsoas tendon impingement after total hip replacement has been reported with an incidence of up to 8.3%. Iliopsoas tendon impingement has also been observed in young active patients engaged in extreme sports. In such cases, surgical iliopsoas tendon release or tenotomy may be considered to improve anterior hip pain and function. Currently, iliopsoas tenotomy is performed either in an open manner or arthroscopically. This article describes a surgical technique using percutaneous ultrasound-guided iliopsoas tenotomy in cadaveric models. We perform the release at the acetabulum because it is safe and provides good sonographic visualization. This study describes the effectiveness of percutaneous iliopsoas tendon tenotomy under ultrasound guidance. However, clinical studies are warranted to confirm these findings. This minimally invasive procedure opens opportunities for clinical applications, comparing outcomes with those of standard approaches and conducting cost analyses. It may offer a cost-effective outpatient clinic option with local anesthesia, avoiding operating room expenses.
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Froidefond et al. (2024) studied Iliopsoas tendon impingement. Percutaneous ultrasound-guided iliopsoas tenotomy was evaluated on Effectiveness and safety of the surgical technique. Percutaneous ultrasound-guided iliopsoas tenotomy at the acetabulum was demonstrated as a feasible technique with good sonographic visualization in cadaveric models.
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