title: Femoral nerve palsy caused by ileopectineal bursitis after total hip replacement: a case report.
abstract: BACKGROUND
  Infectious ileopectineal bursitis is a rare complication after total hip replacement and is associated mainly with rheumatoid arthritis. The main complications are local swelling and pain, but communication of the inflamed bursa with the joint can occur, leading to subsequent cartilage damage and bone destruction.
  
  
  METHODS
  We report a case of a 47-year-old Caucasian woman without rheumatoid arthritis who reported pain and palsy in her left leg almost one year after total hip replacement. She was diagnosed with an ileopectineal bursitis after total hip replacement, leading to femoral nerve palsy. The diagnosis was obtained by thorough clinical examination, the results of focused computed tomography and magnetic resonance imaging.
  
  
  CONCLUSIONS
  To the best of our knowledge, this is the first report of non-infectious ileopectineal bursitis in a patient without rheumatoid arthritis as a complication of total hip replacement. This rare case underlines the importance of proper neurologic examination of persistent conditions after orthopedic intervention in otherwise healthy individuals. We believe this case should be useful for a broad spectrum of medical specialties, including orthopedics, neurology, radiology, and general practice.
authors: Department of Neurology, University of Göttingen, Robert-Koch-Str 40, 37075 Göttingen, Germany. jliman@gwdg.de.
authors: Jan
authors: J
authors: Liman
authors: Philipp
authors: P
authors: von Gottberg
authors: Mathias
authors: M
authors: Bähr
authors: Pawel
authors: P
authors: Kermer
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