Groin pain caused by iliopsoas synovial cyst treated with endoscopic approach. A case report

The diagnosis of iliopsoas synovial cyst is a rare finding. The normal approach to treat this condition has been conservative therapies or open surgery, with its associated complications and morbidity. The arthroscopic – endoscopic surgery is less invasive and with an increase in complications and days of hospitalization. We report the case of a 70-year old woman with clinical and imaging signs of a fluid-filled cyst near iliopsoas distal tendon. After fluid aspiration, the patient reported symptom-free interval of several weeks, but then groin pain and swelling feeling return, increased with hip movements. The cyst was removed through arthroscopy approach and the iliopsoas tendon was released. The removal of iliopsoas synovial cyst is necessary to avoid complications such as pain and functional limits. Arthroscopy has the advantage of less soft-tissue damage and quicker recovery. The treatment of associated tendon pathology can be done. Hip arthroscopy can be a safe and effective technique for the removal of iliopsoas synovial cyst. (www.actabiomedica.it)

[1]  J. Rosenberg,et al.  Treatment of longstanding groin pain: a systematic review , 2019, Hernia.

[2]  O. May.  Arthroscopic techniques for treating ilio-psoas tendinopathy after hip arthroplasty. , 2019, Orthopaedics & traumatology, surgery & research : OTSR.

[3]  P. Di Benedetto,et al.  Arthroscopic treatment of iliopsoas impingement syndrome after hip arthroplasty , 2019, Acta bio-medica : Atenei Parmensis.

[4]  P. Di Benedetto,et al.  Heterotopic Ossification in Primary Total Hip Arthroplasty: which is the role of drainage? , 2019, Acta bio-medica : Atenei Parmensis.

[5]  M. Ronot,et al.  Imaging of inguinal-related groin pain in athletes. , 2018, The British journal of radiology.

[6]  H. Potter,et al.  Imaging of Groin Pain: Magnetic Resonance and Ultrasound Imaging Features , 2017, Sports health.

[7]  P. Di Benedetto,et al.  Extracapsular vs standard approach in hip arthroscopy. , 2016, Acta bio-medica : Atenei Parmensis.

[8]  É. Falvey,et al.  Athletic groin pain (part 1): a prospective anatomical diagnosis of 382 patients—clinical findings, MRI findings and patient-reported outcome measures at baseline , 2015, British Journal of Sports Medicine.

[9]  D. Lloyd,et al.  ‘Treatment of the Sportsman's groin’: British Hernia Society's 2014 position statement based on the Manchester Consensus Conference , 2013, British Journal of Sports Medicine.

[10]  M. Tey,et al.  Hip labral cyst caused by psoas impingement. , 2012, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[11]  M. Wuenschel,et al.  Iliopsoas cyst causing persistent pain after total hip arthroplasty. , 2011, Orthopedics.

[12]  P. Taourel,et al.  Iliopsoas Impingement on the Acetabular Component: Radiologic and Computed Tomography Findings of a Rare Hip Prosthesis Complication in Eight Cases , 2003, Journal of computer assisted tomography.

[13]  T. Drobný,et al.  Inguinal mass as a late complication of hip arthroplasty. Differential diagnosis and treatment from a vascular surgical perspective. , 2000, VASA. Zeitschrift fur Gefasskrankheiten.