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Deep external rotator impingement after hip replacement

deep-external-rotator-impingement-after-hip-replacement

Deep external rotator impingement after hip replacement is one of the less recognised complications of total hip arthroplasty (total hip replacement surgery). While this is generally a positive and life-changing surgical procedure, relieving pain and restoring function, complications can occur. This is true of any surgery of course. Impingement of the iliopsoas tendon against the…

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What happens to the deep external rotators after hip replacement

what-happens-to-the-deep-external-rotators-after-hip-replacement

Total hip arthroplasty (total hip replacement) is one of the most successful operations performed on the human body. However, persistent pain or disability following surgery is often related to impact on the soft tissues surrounding the joint – either direct surgical damage or secondary impacts related to prosthetic selection or placement. The deep external rotators…

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The case against iliopsoas release

the-case-against-iliopsoas-release

Last month we looked why the iliopsoas muscle has been so demonised and the reported indications and techniques for iliopsoas release. But what evidence is there for or against iliopsoas release? In what scenarios might it be regrettable but unavoidable? In what scenarios should it be contraindicated? In this month’s blog, I’ll be presenting the…

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Iliopsoas Release: Beliefs, Indications, Techniques

iliopsoas-release-beliefs-indications-and-techniques

The iliopsoas, our primary hip flexor muscle, is commonly demonised in both clinical practice and online environments. Tightness of the psoas or iliopsoas musculotendinous complex is assumed to be the root cause not only of anterior hip pain, but various physical ailments well beyond the hip and lumbar spine. The iliopsoas and its unfortunate owner…

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