Di Sante Luca, Paoloni Marco, De Benedittis Stefano, Tognolo Lucrezia, Santilli Valter
Physical Medicine and Rehabilitation University, Azienda Policlinico Umberto I, Rome, Italy Board of Physical Medicine and Rehabilitation, Department of Orthopaedic Science, "Sapienza" University, Rome, Italy.
Board of Physical Medicine and Rehabilitation, Department of Orthopaedic Science, "Sapienza" University, Rome, Italy.
J Back Musculoskelet Rehabil. 2014;27(1):103-6. doi: 10.3233/BMR-130412.
Iliopsoas bursitis (IB) is characterized by inflammation and enlargement of the iliopsoas bursa. Although this condition is often associated with degenerative or inflammatory arthritis, infections, trauma, overuse and impingement syndromes, osteonecrosis and hip replacement, the pathogenesis of IB remains uncertain. We present a case report of IB associated with moderate hip osteoarthritis (HOA).
We present a case report of a 73-year-old man with chronic left hip pain that did not respond to conservative treatments. An ultrasonography examination of the left hip revealed fluid-induced distension of the iliopsoas bursa, which was treated with aspiration followed by a corticosteroid-anesthetic injection.
At the 30-day follow-up, despite an initial improvement in the patient's symptoms, both the pain and functional limitation returned, though not in association with bursa distension. The patient therefore underwent a total hip arthroplasty, which fully relieved the symptoms.
We hypothesize that iliopsoas bursitis may, when associated with other pathological conditions, not be the only source of pain. It should, nevertheless, be considered for differential diagnosis purposes.
髂腰肌滑囊炎（IB）的特征是髂腰肌滑囊发生炎症并肿大。尽管这种情况常与退行性或炎性关节炎、感染、创伤、过度使用和撞击综合征、骨坏死及髋关节置换有关，但IB的发病机制仍不明确。我们报告一例与中度髋骨关节炎（HOA）相关的IB病例。
我们报告一例73岁男性患者，其左髋慢性疼痛，保守治疗无效。左髋超声检查显示髂腰肌滑囊因积液而扩张，先进行了抽吸治疗，随后注射了皮质类固醇-麻醉剂。
在30天的随访中，尽管患者症状最初有所改善，但疼痛和功能受限又复发了，不过与滑囊扩张无关。因此，该患者接受了全髋关节置换术，症状完全缓解。
我们推测，当髂腰肌滑囊炎与其他病理状况相关时，它可能不是疼痛的唯一来源。然而，为了鉴别诊断，仍应考虑该病。
