RESUMEN
Iliopsoas bursitis is known to occur in relation to hip joint lesions such as osteoarthritis, rheumatoid arthritis, synovial chondromatosis, pigmented villonodular synovitis and rarely osteonecrosis of the femoral head, but femoral nerve palsy due to iliopsoas bursitis is a very rare condition. A patient visited to the emergency room because of anesthesia of the anterior thigh. A mass had developed and this enlarged to 3x5 cm in size after 2 weeks, and this was probably due to progression of osteonecrosis of the femoral head. The patient was finally diagnosed with femoral nerve palsy that was caused by a distended iliopsoas bursa, which was detected by ultrasonography and enhanced MRI. Total hip arthroplasty via the posterior approach was done and the connected iliopsoas bursa was removed. After operation, the anesthesia of the anterior thigh and the motor power were improved. We report here on a case of femoral nerve palsy due to iliopsoas bursitis that was related to osteonecrosis of the femoral head, and we review the relevant medical literature.
Asunto(s)
Humanos , Anestesia , Artritis Reumatoide , Artroplastia , Bursitis , Condromatosis Sinovial , Urgencias Médicas , Nervio Femoral , Cabeza , Cadera , Articulación de la Cadera , Osteoartritis , Osteonecrosis , Parálisis , Sinovitis Pigmentada Vellonodular , MusloRESUMEN
Brucellosis is a glbally distributed zoonotic infection of the Brucella genus that can involve multiple tissue and organ. In Korea, Brucellosis is caused mainly by B. abortus. but there is no reported case of pyogenic hip joint infection due to Brucella infection in Korea. The authors report a rare case of B. abortus infection in a 40-year-old male cattle breeder male who presented with septic arthritis of the hip joint as the first clinical manifestation.