Femoral nerve palsy caused by a huge iliopectineal synovitis extending to the iliac fossa in a rheumatoid arthritis case.
We report on a 54-year-old woman with rheumatoid arthritis who had severe femoral nerve palsy affected by a distended synovium in the hip joint. Surgical exploration demonstrated a perforation of the iliopectineal bursa connecting with the hip joint. The patient fully recovered from femoral nerve palsy after surgery. It was considered that synovitis of the hip joint had developed following huge iliopectineal bursitis.
Tatsumura
Masaki
M
Department of Orthopaedic Surgery, Advanced Biomedical Applications, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan. tatoo@d1.dion.ne.jp
Mishima
Hajime
H
Shiina
Itsuo
I
Hara
Yuki
Y
Nishiura
Yasumasa
Y
Ishii
Tomoo
T
Ochiai
Naoyuki
N
Ishii
Wataru
W
Sumida
Takayuki
T
D001172:Arthritis, Rheumatoid / Q000150:complications*; D019644:Arthroplasty, Replacement, Hip; D002061:Bursa, Synovial / Q000473:pathology* / Q000601:surgery; D002062:Bursitis / Q000150:complications* / Q000601:surgery; D005260:Female; D020428:Femoral Neuropathy / Q000209:etiology*; D006621:Hip Joint / Q000473:pathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010243:Paralysis / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D020127:Recovery of Function; D013585:Synovitis / Q000150:complications