Editorial Commentary: Psoas Tenotomy in the Setting of a Borderline Dysplastic Hip Risks Iatrogenic Instability: Be Extremely Cautious and Particularly in Athletes

Successful outcomes after psoas tenotomies have been reported and proposed in the setting of recalcitrant internal snapping impingement. However, case reports citing hip flexion weakness iatrogenic instability created concern regarding role for tenotomies. Despite these concerns, some recent studies reporting improved endoscopic breathe further life into this controversial topic. Psoas tenotomy a borderline dysplastic likely carries an even greater risk instability. It might be critical to evaluate clinical signs symptoms addition radiographic parameters avoid potentially devastating complication. In addition, traditional definition dysplasia is based on lateral acetabular coverage that less important than anterior femoral version when contemplating basis dynamic stabilizing effect iliopsoas myotendinous unit. Surgeons should also extremely cautious considering athletic population with potential persistent limited data hinting at inferior sports specific outcomes. end, it not clear whether “drives” improvements seen studies, or many patients ultimately battle their way minimally clinically difference “despite” tenotomy.