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[Bursitis iliopectinea].

K Koudela¹, J Koudelová, K Koudela

¹Klinika ortopedie a traumatologie pohybového ústrojí LF UK a FN Plzen. k.koudela@seznam.cz

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca

|November 26, 2008

Summary

Iliopectineal bursitis often presents as a hip mass and is linked to chronic hip synovitis from various joint diseases. Imaging reveals communication between the bursa and hip joint, crucial for diagnosis and treatment.

Area of Science:

Orthopedics
Radiology
Rheumatology

Background:

Iliopectineal bursitis is a rare condition that can cause hip pain and swelling.
Understanding its etiopathogenesis is crucial for effective diagnosis and management.

Observation:

This study evaluated six patients with iliopectineal bursitis, presenting with hip masses.
Clinical findings included tenderness and, in one case, a pulsating mass.
Imaging revealed communication between the bursa and hip joint in five patients.

Findings:

Iliopectineal bursitis was associated with chronic hip synovitis, femoral head avascular necrosis (following steroid therapy), tularemia, salmonella arthritis, and rheumatoid arthritis.
Asymptomatic cases were also identified, diagnosed incidentally.

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Communication between the bursa and hip joint cavity was a significant radiographic finding.

Implications:

Iliopectineal bursitis should be considered in the differential diagnosis of hip masses.
Effective treatment requires addressing both the bursa and the underlying hip joint pathology.
Surgical options include bursa resection/excision combined with joint treatment such as alloplasty or femoral head revitalization.