Iliopsoas Bursitis: Difference between revisions
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== Differential Diagnosis == | == Differential Diagnosis == | ||
Distension can be caused by several joint diseases:<br>- [[Osteoarthritis|Osteoarthritis]]<br>- [[Rheumatoid_Arthritis|Rheumatoid arthritis]]<br>- [[Avascular_Necrosis|Avascular necrosis]]<br>- Pigmente villonodular synovitis<br>- Synovial chondromatosis<br>- [[Gout|Gout]]<br>- Chondrocalcinosis<br>- Trauma<br>- Lupus erythematodes<br>- Pyogenic infection <br>[2]<br>Differential diagnosis of anterior hip pain by anatomical structure:<br>- Joint<br> o [[Osteoarthritis|Osteoarthritis]]<br> o Inflammatory synovitis<br> o Loose bodies<br> o Infection (septic joint)<br> o Crystal-induced synovitis ([[Gout|gout]])<br> o Labral tears<br>- Bone<br> o Femur<br> Stress fracture<br> Avascular necrosis of femoral head<br> Bone tumour<br> Infection | |||
o Pelvis<br> Hip fracture<br> Stress fracture<br> Osteitis pubis<br>- Muscle, endon, bursa<br> o [[Iliopsoas_Bursitis|Iliopsoas bursitis]] and tendinitis<br> o Iliopsoas strain<br> o Retus femoris strain<br> o Tight iliotibial band<br>- Vasculature<br> o Aneurysm<br> o Arteriovenous malformation<br>- Pelvic mass<br> o Gastrointestinal causes (e.g. hernia)<br> o Genitourinary causes (e.g. ureteral stone)<br>- Nerve<br> o Obturator nerve entrapment<br> o Myalgia paraesthetica<br> o Referred from lumbar spine (L1, L2)<br> | |||
== Diagnostic Procedures == | == Diagnostic Procedures == |
Revision as of 16:06, 20 May 2011
Original Editors - Andrea Nees
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Search Strategy[edit | edit source]
Databases: Pubmed
Keywords: Iliopsoas bursitis, bursitis, physiotherapy
Definition/Description[edit | edit source]
For the definition of bursitis: See Bursitis
This kind of bursitis is one of the affections related to anterior hip pain.
Clinically Relevant Anatomy[edit | edit source]
The iliopsaos bursa is the largest bursa of the human body and is bilaterally present in 98% of adults. This bursa is bounded by the musculotendinous junction of the M. iliopsoas (anteriorly) and by the fibrous capsule of the hip (posteriorly). It extends from the inguinal ligament superiorly to the lesser trochanter inferiorly and is flanked by the femoral vessels (medially) and the femoral nerve (laterally). [2]
Epidemiology /Etiology[edit | edit source]
Iliopsoas bursitis is mainly caused by:
- Rheumatoid arthritis
- Acute trauma
- Overuse injury
Iliopsoas bursitis is commonly seen in individuals participating in:
- Strength training
- Rowing
- Uphill running
- Competitive track and field
This kind of bursitis mainly affects young adults. It occurs slightly more often in women than men. [3](Level of evidence: A1)
Characteristics/Clinical Presentation[edit | edit source]
- Pain is generally felt in the groin, anterior part of the thigh, knee and leg
- Pain develops during walking or specific movements like crossing the legs
- Pain is increased when acting weight-bearing activities, putting on socks and shoes, or rising from a chair. [4]
- The pain is worse by hip movements and relieved by rest. [3]
Differential Diagnosis[edit | edit source]
Distension can be caused by several joint diseases:
- Osteoarthritis
- Rheumatoid arthritis
- Avascular necrosis
- Pigmente villonodular synovitis
- Synovial chondromatosis
- Gout
- Chondrocalcinosis
- Trauma
- Lupus erythematodes
- Pyogenic infection
[2]
Differential diagnosis of anterior hip pain by anatomical structure:
- Joint
o Osteoarthritis
o Inflammatory synovitis
o Loose bodies
o Infection (septic joint)
o Crystal-induced synovitis (gout)
o Labral tears
- Bone
o Femur
Stress fracture
Avascular necrosis of femoral head
Bone tumour
Infection
o Pelvis
Hip fracture
Stress fracture
Osteitis pubis
- Muscle, endon, bursa
o Iliopsoas bursitis and tendinitis
o Iliopsoas strain
o Retus femoris strain
o Tight iliotibial band
- Vasculature
o Aneurysm
o Arteriovenous malformation
- Pelvic mass
o Gastrointestinal causes (e.g. hernia)
o Genitourinary causes (e.g. ureteral stone)
- Nerve
o Obturator nerve entrapment
o Myalgia paraesthetica
o Referred from lumbar spine (L1, L2)
Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
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Examination[edit | edit source]
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Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]
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Resources
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Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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