Psoashämatom bei Iliopsoaskontaktphänomen

 

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Zusammenfassung

Die Irritation des M. iliopsoas nach Hüft-TEP-Implantation stellt eine seltene Komplikation dar. Im Zusammenhang mit der Irritation der Iliopsoassehne gibt es bisher nur eine Fallbeschreibung eines Hämatoms in der Psoasloge unter Antikoagulation des Patienten. Wir gehen davon aus, dass solche Hämatome häufiger sind als bisher beschrieben. Wir beschreiben 2 Fälle eines Hämatoms, deren Ursache ein Iliopsoaskontaktphänomen war. In 1 Fall kam es aufgrund des Hämatoms zu neurologischen Ausfällen des N. femoralis. Die Therapie bestand in beiden Fällen in der operativen Revision zumindest der Hüftpfannenkomponente.

Abstract

Irritation of the tendon of the musculus iliopsoas after total hip replacement is a rare complication. In connection with the irritation of the iliopsoas tendon only one case report of a psoas haematoma due to anticoagulation has been published. We assume that these kinds of haematomas are more frequent than described. We report on 2 cases of haematoma caused by an iliopsoas impingement after total hip replacement. In one case a lesion of the femoral nerve was observed. Surgical treatment was composed of the revision of the acetabular component.

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