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KMID : 0386720090210010082
Journal of the Korean Hip Society
2009 Volume.21 No. 1 p.82 ~ p.85
Femoral Nerve Palsy caused by Iliopsoas Bursitis Associated with Osteonecrosis of the Femoral Head - A Case Report -
Chung Phil-Hyun

Kang Suk
Hwang Chung-Soo
Kim Jong-Pil
Kim Young-Sung
Kim Soo-Ma
Suh Kyung-Jin
Abstract
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 3¡¿5 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.
KEYWORD
Femoral nerve palsy, Iliopsoas bursa, Osteonecrosis of the femoral head
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