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Related Experiment Videos

Iliopsoas bursitis following total hip replacement.

Y M Cheung1, C M Gupte, M J Beverly

  • 1Department of Orthopaedics, Ealing Hospital, Uxbridge Road, Middlesex, UB1 3HW, UK. yin-mei.cheung@imperial.ac.uk

Archives of Orthopaedic and Trauma Surgery
|November 2, 2004
PubMed
Summary

Massive iliopsoas bursa enlargement after hip replacement can cause leg swelling by compressing veins. Surgical removal resolved symptoms, suggesting a link to prosthetic wear.

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Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Biomedical Engineering

Background:

  • Iliopsoas bursitis is an uncommon condition.
  • Total hip replacement (THR) can lead to complications, including periprosthetic fluid collections.
  • Polyethylene wear is a known issue in THR, potentially causing inflammatory responses.

Observation:

  • A 52-year-old man developed a groin mass and leg edema 4 years post-THR.
  • Imaging revealed massive cystic iliopsoas bursa enlargement compressing iliac vessels.
  • Bursography confirmed the cystic lesion but showed no communication with the hip joint.

Findings:

  • The cystic enlargement was attributed to polyethylene wear from the uncemented THR.
  • Despite no joint communication or loosening, the bursa enlarged significantly.

Related Experiment Videos

  • Surgical excision led to complete symptom resolution and no recurrence at 5 years.

    • Implications:

    • This case highlights a rare presentation of iliopsoas bursitis secondary to prosthetic wear.
    • Imaging is crucial for diagnosing venous compression by enlarged bursae post-THR.
    • Early recognition and surgical intervention can effectively manage this complication.