JBJS, April 1, 2003, Volume 85, Issue 4

Dumbbell-Shaped Iliopsoas Bursitis Penetrating the Pelvic Wall: A Rare Complication of Hip Arthrodesis

Tetsuji Yamamoto, MD Takashi Marui, MD Toshihiro Akisue, MD Shinichi Yoshiya, MD Toshiaki Hitora, MD Masahiro Kurosaka, MD

Hip

The iliopsoas bursa is a normal anatomical structure that lies deep to the iliopsoas tendon in the region of the hip joint 1. Inflammation and distension of the bursa is most commonly associated with rheumatoid arthritis 2,3, but it is also seen in association with osteoarthrosis 2, pigmented villonodular synovitis 4, synovial chondromatosis 5, infection 6,7, pseudogout 8, and metastatic bone disease 9. In rare cases, iliopsoas bursitis develops after total hip arthroplasty 7,10-12. We report a rare case of iliopsoas bursitis that presented as a buttock mass that had completely penetrated the pelvic wall many years after hip arthrodesis.

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