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髂腰肌滑囊增大压迫股神经导致股单神经病和失神经水肿。

Enlarged Iliopsoas Bursa Compressing the Femoral Nerve Resulting in Femoral Mononeuropathy and Denervation Edema.

作者信息

Shirodkar Kapil, Pilania Khushboo, Jankharia Bhavin G, Botchu Rajesh

机构信息

Department of Musculoskeletal Radiology, Royal Orthopedic Hospital, Birmingham, United Kingdom.

Department of Radiology, Picture This by Jankharia, Mumbai, Maharashtra, India.

出版信息

Indian J Radiol Imaging. 2025 Feb 11;35(3):470-473. doi: 10.1055/s-0044-1801827. eCollection 2025 Jul.

DOI:10.1055/s-0044-1801827
PMID:40529974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12169921/
Abstract

Iliopsoas bursitis, although not rare, may manifest clinically as a detectable mass in the groin area. This condition has the potential to apply pressure on the adjacent femoral neurovascular bundle, leading to isolated mononeuropathy. We present an uncommon case of femoral mononeuropathy in a 46-year-old female patient caused by an enlarged iliopsoas bursa. The case is noteworthy due to its rarity and the clinical and diagnostic challenges associated with assessing individuals with a groin mass, hip flexor weakness, and femoral nerve palsy.

摘要

髂腰肌滑囊炎虽然并不罕见,但在临床上可能表现为腹股沟区可触及的肿块。这种情况有可能对相邻的股神经血管束施加压力,导致孤立性单神经病。我们报告一例46岁女性患者因髂腰肌滑囊肿大引起的罕见股单神经病病例。该病例因其罕见性以及在评估有腹股沟肿块、髋屈肌无力和股神经麻痹的个体时所面临的临床和诊断挑战而值得关注。

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本文引用的文献

1
Cystic lesion around the hip joint.髋关节周围的囊性病变。
World J Orthop. 2015 Oct 18;6(9):688-704. doi: 10.5312/wjo.v6.i9.688.
2
High-resolution 3-T MR neurography of femoral neuropathy.股神经高分辨率 3T MR 神经成像。
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High-resolution MR neurography of diffuse peripheral nerve lesions.弥散性周围神经病变的高分辨率磁共振神经成像。
AJNR Am J Neuroradiol. 2011 Sep;32(8):1365-72. doi: 10.3174/ajnr.A2257. Epub 2010 Oct 21.
4
MR neurography of neuromas related to nerve injury and entrapment with surgical correlation.神经损伤和嵌压相关神经瘤的磁共振神经成像与手术相关性。
AJNR Am J Neuroradiol. 2010 Sep;31(8):1363-8. doi: 10.3174/ajnr.A2002. Epub 2010 Feb 4.