The condition usually occurs in young patients when the pelvis grows faster than the psoas tendon, so the tendon snaps over the pelvis during activity. Physicians have traditionally treated snapping psoas tendon through physical therapy. However, if conservative treatment fails, the physician can surgically lengthen the tendon. During the procedure, surgeons cut slits in the tendon for a partial release or fractional lengthening.
For the study, 67 patients underwent the arthroscopic lengthening of the psoas tendon, either in insulation or in conjunction with hip impingement, and 19 patients had high anteversion. The release procedure could result in a delayed time before the patient is cleared to return to play, and they may need an alterative treatment.
Read the report on psoas from Hospital for Special Surgery.
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