Peters A, Tillmann B
Anatomisches Institut der Universität zu Kiel, BRD.
Anat Anz. 1988;167(5):403-7.
The size of the iliopsoas bursa is usually larger than its size described in textbooks of anatomy. Proximally the synovial bursa lies on the pectineal eminence of the superior pubic ramus, passes across the front of the capsule of the hip joint and extends distally downwards almost as far as to the lesser trochanter. Only the tendon of the psoas major muscle is normally an immediate relation to the bursa. In 13% of all cases the iliopsoas bursa is partly separated by a septum into 2 cavities. Here the tendon of the psoas major muscle passes over the medial chamber and the tendon of the iliac muscle runs over the lateral chamber. With regard to modern diagnostic techniques (computer tomography, magnetic resonance-tomography) the results are significant for the differential diagnosis of inflammatory processes in hip joints.
髂腰肌滑囊的大小通常比解剖学教科书所描述的要大。在近端,滑膜滑囊位于耻骨上支的耻骨结节处,穿过髋关节囊的前方,并向远端向下延伸几乎至小转子。通常只有腰大肌肌腱与滑囊直接相关。在所有病例中,13%的髂腰肌滑囊被一个隔膜部分分隔为两个腔隙。在此处,腰大肌肌腱跨过内侧腔隙,而髂肌肌腱则跨过外侧腔隙。对于现代诊断技术(计算机断层扫描、磁共振断层扫描)而言,这些结果对于髋关节炎症过程的鉴别诊断具有重要意义。