Iliopsoas Bursitis Managed with Endoscopic Bursectomy and Lesser Trochanter Decompression

Abstract

Case: A 32-year-old woman presented with worsening right anterior hip pain, reduced hip flexion strength, and passive range of motion during hip flexion. Magnetic resonance imaging of the hip demonstrated a prominent lesser trochanter and localized fluid signal intensity at the iliopsoas bursa. The patient underwent endoscopic iliopsoas bursectomy and lesser trochanterplasty, reporting improvement in all clinical outcome scores at 1-year follow-up. Conclusion: Lesser trochanter morphology should be evaluated in patients presenting with iliopsoas bursitis. In patients failing to respond to conservative management, endoscopic iliopsoas bursectomy and lesser trochanterplasty may address pain and functional limitations.

Endoscopic Resection for Iliopectineal Bursitis Associated With Developmental Dysplasia of the Hip

“…This method has several advantages. First, we can observe and treat various pathologies around hip joint, and if accompanying pathologies such as synovitis, tendinitis, and bony deformity are present, they can be treated simultaneously [ 8 - 11 ]. This patient also had minimal labral damage, which could cause joint fluid retention, and it was possible to repair it.…”

It’s Not Always the Appendix: An Unusual Case of Right Lower Quadrant Pain in an Emergency Department Patient Due to Iliopsoas Bursitis From Uncommon Sleep Positioning

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