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[Inguinal pain caused by iliopsoas bursitis]
M P Mallant1, W J Mastboom, G P de Backer
1Afd. Heelkunde, Medisch Spectrum Twente, Enschede.
Nederlands Tijdschrift Voor Geneeskunde
|September 30, 1998
Summary
Iliopectineal bursitis causes hip and groin pain. Lidocaine injections effectively diagnose and treat this condition, offering relief for patients with persistent symptoms.
Area of Science:
- Orthopedics
- Rheumatology
Background:
- Iliopectineal bursitis is a potential cause of hip and groin pain.
- Symptoms can be chronic and present without a clear etiology.
Observation:
- Four patients (3 male, 1 female; ages 45-72) presented with inguinal pain.
- Pain persisted for days to 8 years, with normal passive hip range of motion.
Findings:
- Provocation tests elicited pain upon pressure or stretching of the bursal wall.
- Lidocaine injection into the bursa provided significant pain relief, confirming the diagnosis.
Implications:
- Iliopectineal bursitis can result from injury or overstrain.
- Lidocaine diagnostic injection is a reliable method for confirming iliopectineal bursitis.
- Pharmacological intervention with lidocaine can serve as an effective treatment.