Department of Rheumatology, St. James's Hospital, Dublin, Ireland.
J Clin Rheumatol. 2010 Mar;16(2):83-5. doi: 10.1097/RHU.0b013e3181d072bb.
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.
髂腰肌滑囊炎是一种被严重低估的髋关节疼痛病因，为避免毗邻结构受压而导致的严重并发症，应及早识别。这种疾病可发生于运动员或从事重体力劳动的人群遭受创伤之后，也与急性或慢性关节炎相关。我们描述了 2 例患者的病例，其中 1 例发生股神经病变，另 1 例由于髂腰肌滑囊增大导致下肢静脉严重受压。磁共振成像（MRI）可提供最准确的关于问题严重程度的信息。对于顽固病例，除了治疗潜在病因外，可能还需要滑囊切除术。
