Flanagan F L, Sant S, Coughlan R J, O'Connell D
Department of Diagnostic Radiology and Rheumatology, Mater Hospital, Dublin 7, Ireland.
Br J Rheumatol. 1995 Apr;34(4):365-9. doi: 10.1093/rheumatology/34.4.365.
The clinical and radiological features of seven cases of enlarged iliopsoas bursae are presented, all of which had normal plain hip radiographs. Two cases had rheumatoid arthritis, one had septic arthritis diagnosed by synovial biopsy and the remaining four cases occurred as isolated findings, in the absence of any recognized hip pathology. A communication with the hip joint was demonstrated in one case associated with septic arthritis. All patients presented with symptoms of hip pain and limitation of movement. Two patients had a groin mass, one of which produced localized pressure symptoms and retroperitoneal extension. All patients had an arthrogram or bursogram performed. In the two cases where a mass was palpable, ultrasound and computed tomography were performed. We conclude that, in the presence of persistent hip pain or reduced range of movement, an enlarged iliopsoas bursa should be considered as a potential diagnosis, even in cases where the plain hip radiograph is normal.
本文介绍了7例髂腰肌滑囊增大病例的临床和放射学特征，所有病例髋关节X线平片均正常。2例患有类风湿性关节炎，1例经滑膜活检诊断为化脓性关节炎，其余4例为孤立性病例，无任何公认的髋关节病变。1例与化脓性关节炎相关的病例显示滑囊与髋关节相通。所有患者均表现为髋关节疼痛和活动受限症状。2例患者有腹股沟肿块，其中1例产生局部压迫症状并向腹膜后延伸。所有患者均接受了关节造影或滑囊造影检查。在2例可触及肿块的病例中，还进行了超声和计算机断层扫描检查。我们得出结论，即使髋关节X线平片正常，在存在持续性髋关节疼痛或活动范围减小的情况下，也应考虑髂腰肌滑囊增大这一潜在诊断。
