Mallant M P, Mastboom W J, de Backer G P
Afd. Heelkunde, Medisch Spectrum Twente, Enschede.
Ned Tijdschr Geneeskd. 1998 Jun 6;142(23):1328-31.
Four patients, three men aged 69, 55 and 45 years and one woman aged 72 years, complained of pain in and around the inguinal region without clear cause. The crippling symptoms were of a few days' to 8 years' standing. Passive hip movements were not restricted. Presence of pain after pressure on or stretching of the bursal wall during provocation tests and absence of other disorders resulted in a probability diagnosis of iliopectineal bursitis. This diagnosis was confirmed by marked abatement of the pain after an injection of lidocaine into the bursa. Inflammation of the iliopectineal bursa may occur after injury or overstrain and cause various kinds of complaints. The diagnosis injection of lidocaine as a rule constitutes an adequate treatment as well.
4例患者，3名男性，年龄分别为69岁、55岁和45岁，1名女性，72岁，主诉腹股沟区及其周围疼痛，病因不明。致残症状持续了几天至8年。髋关节被动活动不受限。激发试验时，滑囊壁受压或拉伸后出现疼痛，且无其他疾病，导致可能诊断为髂耻滑囊炎。向滑囊内注射利多卡因后疼痛明显减轻，证实了这一诊断。髂耻滑囊炎可能在受伤或过度劳损后发生，并引起各种不适。通常，注射利多卡因进行诊断也构成了一种充分的治疗方法。
