[Iliopsoas bursal distension revealing complication of total hip arthroplasty: five cases].
The iliopsoas bursa is situated immediately anterior to the hip joint. Communication can develop between a hip prosthesis and the iliopsoas bursa leading to distension and formation of an inguinal mass revealing complication of total hip arthroplasty. We report five clinical cases. The five patients with a total hip arthroplasty developed a mass in the Scarpa triangle which correlated with defective prosthesis function. We chose not to dissect the cystic mass but to treat the intra-articular cause. Symptoms resolved after the intervention in all cases. This rare condition should be envisioned if an inguinal mass develops or has a functional impact, particularly on the lymphovenous circulation. Anatomic relations can be distinguished with computed tomography. Prosthetic complications include infection, loosening or wear. The work-up should include search for infection and standard x-rays of the hip joint. Before surgery, duplex Doppler should be performed systematically to search for a thromboembolic complication.
Grosclaude
S
S
Centre d'Orthopédie-Traumatologie, Pavillon 1-3, Hôpital Bellevue, CHRU de Saint-Etienne, 42055 Saint-Etienne Cedex 02. groscoum@hotmail.com
Adam
P
P
Besse
J L
JL
Fessy
M H
MH
D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D002061:Bursa, Synovial; D006119:Groin; D006621:Hip Joint / Q000000981:diagnostic imaging; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D011475:Prosthesis Failure; D016658:Psoas Muscles; D014057:Tomography, X-Ray Computed; D018616:Ultrasonography, Doppler, Duplex