Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 21, Issue 2, pp 420–423 | Cite as

Total dislocation of the hip joint after arthroscopy and ileopsoas tenotomy

  • Mikael SansoneEmail author
  • Mattias Ahldén
  • Páll Jónasson
  • Leif Swärd
  • Thomas Eriksson
  • Jon Karlsson


The hip is a highly stable joint. Non-traumatic dislocation of the hip is extremely uncommon. In this article, we report two cases of non-traumatic hip dislocations following hip arthroscopy. In both cases, capsulotomy and ileopsoas tenotomy had been performed. These cases raise questions about the importance of the natural stabilisers of the hip.

Level of evidence V.


Hip arthroscopy Dislocation Ileopsoas tendon Complications Iatrogenic complication 


  1. 1.
    Alexander S, Southgate DF, Bull AM, Wallace AL (2012) The role of negative intraarticular pressure and the long head of biceps tendon on passive stability of the glenohumeral joint. J Should Elbow Surg. doi: 10.1016/j.jse.2012.01.007
  2. 2.
    Anderson SA, Keene JS (2008) Results of arthroscopic iliopsoas tendon release in competitive and recreational athletes. Am J Sports Med 36(12):2363–2371PubMedCrossRefGoogle Scholar
  3. 3.
    Babst D, Steppacher SD, Ganz R, Siebenrock KA, Tannast M (2011) The iliocapsularis muscle: an important stabilizer in the dysplastic hip. Clin Orthop Relat Res 469:1728–1734PubMedCrossRefGoogle Scholar
  4. 4.
    Bedi A, Galano G, Walsh C, Kelly BT (2011) Capsular management during hip arthroscopy: from femoroacetabular impingement to instability. Arthroscopy 27(12):1720–1731PubMedCrossRefGoogle Scholar
  5. 5.
    Benali Y, Katthagen BD (2009) Hip subluxation as a complication of arthroscopic debridement. Arthroscopy 25(4):405–407PubMedCrossRefGoogle Scholar
  6. 6.
    Buckwalter JA, Brown TD (2004) Joint injury, repair, and remodeling: roles in post-traumatic osteoarthritis. Clin Orthop Relat Res 423:7–16PubMedCrossRefGoogle Scholar
  7. 7.
    Elser F, Braun S, Dewing CB, Giphart JE, Millett PJ (2011) Anatomy, function, injuries, and treatment of the long head of the biceps brachii tendon. Arthroscopy 27(4):581–592PubMedCrossRefGoogle Scholar
  8. 8.
    Eshuis R, De Gast A (2012) Role of the long head of the biceps brachii muscle in axial humeral rotation control. Clin Anat 25(6):737–745PubMedCrossRefGoogle Scholar
  9. 9.
    Ilizaliturri VM Jr (2009) Complications of arthroscopic femoroacetabular impingement treatment: a review. Clin Orthop Relat Res 467:760–768PubMedCrossRefGoogle Scholar
  10. 10.
    Ilizaliturri VM Jr, Camacho-Galindo J (2010) Endoscopic treatment of snapping hips, iliotibial band, and iliopsoas tendon. Sports Med Arthrosc 18(2):120–127PubMedCrossRefGoogle Scholar
  11. 11.
    Ilizaliturri VM Jr, Chaidez C, Villegas P, Briseno A, Camacho-Galindo J (2009) Prospective randomized study of 2 different techniques for endoscopic iliopsoas tendon release in the treatment of internal snapping hip syndrome. Arthroscopy 25(2):159–163PubMedCrossRefGoogle Scholar
  12. 12.
    Kamekura S, Hoshi K, Shimoaka T, Chung U, Chikuda H, Yamada T, Uchida M, Ogata N, Seichi A, Nakamura K, Kawaguchi H (2005) Osteoarthritis development in novel experimental mouse models induced by knee joint instability. Osteoarthr Cartil 13(7):632–641PubMedCrossRefGoogle Scholar
  13. 13.
    Martin HD, Savage A, Braly BA, Palmer IJ, Beall DP, Kelly B (2008) The function of the hip capsular ligaments: a quantitative report. Arthroscopy 24(2):188–195PubMedCrossRefGoogle Scholar
  14. 14.
    Matsuda DK (2009) Acute iatrogenic dislocation following hip impingement arthroscopic surgery. Arthroscopy 25(4):400–404PubMedCrossRefGoogle Scholar
  15. 15.
    Mei-Dan O, McConkey MO, Brick M (2012) Catastrophic failure of hip arthroscopy due to iatrogenic instability: can partial division of the ligamentum teres and iliofemoral ligament cause subluxation? Arthroscopy 28(3):440–445PubMedCrossRefGoogle Scholar
  16. 16.
    Myers CA, Register BC, Lertwanich P, Ejnisman L, Pennington WW, Giphart JE, LaPrade RF, Philippon MJ (2011) Role of the acetabular labrum and the iliofemoral ligament in hip stability: an in vitro biplane fluoroscopy study. Am J Sports Med 39(Suppl):85S–91SPubMedCrossRefGoogle Scholar
  17. 17.
    Ranawat AS, McClincy M, Sekiya JK (2009) Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip. A case report. J Bone Joint Surg Am 91(1):192–197PubMedCrossRefGoogle Scholar
  18. 18.
    Smith MV, Sekiya JK (2010) Hip instability. Sports Med Arthrosc 18(2):108–112PubMedCrossRefGoogle Scholar
  19. 19.
    Yoshio M, Murakami G, Sato T, Sato S, Noriyasu S (2002) The function of the psoas major muscle: passive kinetics and morphological studies using donated cadavers. J Orthop Sci 7(2):199–207PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Mikael Sansone
    • 1
    Email author
  • Mattias Ahldén
    • 1
  • Páll Jónasson
    • 1
  • Leif Swärd
    • 2
  • Thomas Eriksson
    • 3
  • Jon Karlsson
    • 1
  1. 1.Department of Orthopaedic SurgerySahlgrenska University HospitalMölndalSweden
  2. 2.Orthocenter/IFK-KlinikenGothenburgSweden
  3. 3.Department of Orthopaedic SurgeryVästerås HospitalVästeråsSweden

Personalised recommendations