Giant iliopsoas bursitis: a complication of chronic arthritis.
Iliopsoas bursitis is a poorly recognized cause of hip pain that requires early recognition to avoid potentially serious complications caused by compression of adjacent structures. It can occur in the setting of trauma in athletes or those who engage in heavy labor and is also associated with acute or chronic arthritis. We describe the cases of 2 patients, one of whom developed a femoral neuropathy, while the other had marked venous compression of the lower limb resulting from enlargement of the iliopsoas bursa. Magnetic resonance imaging offers the most accurate information on the extent of the problem. Recalcitrant cases may require bursectomy in addition to treatment of the underlying cause.
Murphy
Claire-Louise
CL
Department of Rheumatology, St. James's Hospital, Dublin, Ireland.
Meaney
James F M
JF
Rana
Haider
H
McCarthy
Eoghan M
EM
Howard
Donough
D
Cunnane
Gaye
G
D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000150:complications*; D002062:Bursitis / Q000000981:diagnostic imaging* / Q000209:etiology*; D006621:Hip Joint / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000150:complications*; D014057:Tomography, X-Ray Computed