Harper M C, Schaberg J E, Allen W C
Clin Orthop Relat Res. 1987 Aug(221):238-41.
The iliopsoas bursa is a well-defined anatomic structure that has been involved in various diseases about the hip, including osteoarthritis, rheumatoid arthritis, pigmented villonodular synovitis, and synovial chondromatosis. Demonstration of the iliopsoas bursa using contrast material has been reported during hip arthrography and inadvertently during angiography, but no direct or primary methods of iliopsoas bursography have been reported. A technique of primary bursography under fluoroscopy is described wherein filling of the bursa with contrast material allowed the observation of movement of the iliopsoas musculotendinous unit across the front of the pelvis during motion of the hip. This technique, which was of significant benefit in determining the etiology of two cases of the snapping hip syndrome of the internal variety, is simple, easily reproducible, and has clinical application.
髂腰肌滑囊是一种界限清晰的解剖结构，它与多种髋关节疾病相关，包括骨关节炎、类风湿关节炎、色素沉着绒毛结节性滑膜炎和滑膜软骨瘤病。在髋关节造影期间曾有使用造影剂显示髂腰肌滑囊的报道，血管造影时也曾无意中显示过，但尚未有直接或主要的髂腰肌滑囊造影方法的报道。本文描述了一种在荧光透视下进行原发性滑囊造影的技术，通过向滑囊内注入造影剂，可以观察到髋关节运动时髂腰肌肌腱单元在骨盆前方的移动情况。该技术对于确定两例内源性弹响髋综合征的病因具有重要意义，操作简单，易于重复，且具有临床应用价值。
