Trochanteric impingement: Is it a source of pain after THR?

Mark J. Isaacson, Kevin J. Bunn, Stephen J. Incavo

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

While uncommon, trochanteric-pelvic impingement may lead to significant lateral hip pain. We defined "impingement distance" as the radiographic distance from the medial aspect of the greater trochanter and the corresponding lateral edge of the acetabular bone or component and compared this to the contralateral normal hip. We present two painful total hip replacement (THR) cases, each featuring a patient with severe lateral hip pain when walking and sitting. Both patients had diminished femoral offset and trochanteric-pelvic clearance, compared to the contralateral normal hip. The impingement distance was increased an average of 10 mm with the exchange to a longer femoral head. Both patients had immediate and complete pain relief with operative treatment to increase the impingement distance.

Original languageEnglish (US)
Pages (from-to)73-75
Number of pages3
JournalArthroplasty Today
Volume1
Issue number3
DOIs
StatePublished - Sep 1 2015

Keywords

  • Femoral offset
  • Hip pain
  • Total hip arthroplasty
  • Total hip replacement
  • Trochanteric bursitis
  • Trochanteric impingement

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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