Groin pain and iliopsoas bursitis: always a cause-effect relationship?

Iliopsoas bursitis (IB) is characterized by inflammation and enlargement of the iliopsoas bursa. Although this condition is often associated with degenerative or inflammatory arthritis, infections, trauma, overuse and impingement syndromes, osteonecrosis and hip replacement, the pathogenesis of IB r...

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Bibliographic Details
Published in:Journal of back and musculoskeletal rehabilitation 2014-01, Vol.27 (1), p.103-106
Main Authors: Di Sante, Luca, Paoloni, Marco, De Benedittis, Stefano, Tognolo, Lucrezia, Santilli, Valter
Format: Article
Language:English
Subjects:
Aged
Arthroplasty, Replacement, Hip
Bursitis - complications
Bursitis - physiopathology
Bursitis - surgery
Groin - physiopathology
Humans
Male
Osteoarthritis, Hip - complications
Osteoarthritis, Hip - physiopathology
Osteoarthritis, Hip - surgery
Pain - etiology
Pain - physiopathology
Pain - surgery
Treatment Outcome
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Summary:Iliopsoas bursitis (IB) is characterized by inflammation and enlargement of the iliopsoas bursa. Although this condition is often associated with degenerative or inflammatory arthritis, infections, trauma, overuse and impingement syndromes, osteonecrosis and hip replacement, the pathogenesis of IB remains uncertain. We present a case report of IB associated with moderate hip osteoarthritis (HOA). We present a case report of a 73-year-old man with chronic left hip pain that did not respond to conservative treatments. An ultrasonography examination of the left hip revealed fluid-induced distension of the iliopsoas bursa, which was treated with aspiration followed by a corticosteroid-anesthetic injection. At the 30-day follow-up, despite an initial improvement in the patient's symptoms, both the pain and functional limitation returned, though not in association with bursa distension. The patient therefore underwent a total hip arthroplasty, which fully relieved the symptoms. We hypothesize that iliopsoas bursitis may, when associated with other pathological conditions, not be the only source of pain. It should, nevertheless, be considered for differential diagnosis purposes.
ISSN:1053-8127
1878-6324
DOI:10.3233/BMR-130412