Iliopsoas Bursitis Managed with Endoscopic Bursectomy and Lesser Trochanter Decompression: A Case Report

Thomas D. Alter; Daniel M. Wichman; Derrick M. Knapik; Felipe S. Bessa; Shane J. Nho

doi:10.2106/JBJS.CC.21.00285

Iliopsoas Bursitis Managed with Endoscopic Bursectomy and Lesser Trochanter Decompression: A Case Report

Thomas D. Alter, Daniel M. Wichman, Derrick M. Knapik, Felipe S. Bessa, Shane J. Nho

Division of Sport Surgery

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Article number	e21.00285
Journal	JBJS case connector
Volume	11
Issue number	4
DOIs	https://doi.org/10.2106/JBJS.CC.21.00285
State	Published - Nov 11 2021

Keywords

Iliopsoas bursectomy
disease/condition: lesser trochanter impingement
iliopsoas bursitis
procedures: lesser trochanterplasty
sex: female

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10.2106/JBJS.CC.21.00285

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title = "Iliopsoas Bursitis Managed with Endoscopic Bursectomy and Lesser Trochanter Decompression: A Case Report",

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.",

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author = "Alter, {Thomas D.} and Wichman, {Daniel M.} and Knapik, {Derrick M.} and Bessa, {Felipe S.} and Nho, {Shane J.}",

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doi = "10.2106/JBJS.CC.21.00285",

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AU - Alter, Thomas D.

AU - Wichman, Daniel M.

AU - Knapik, Derrick M.

AU - Bessa, Felipe S.

AU - Nho, Shane J.

PY - 2021/11/11

Y1 - 2021/11/11

N2 - 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.

AB - 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.

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Iliopsoas Bursitis Managed with Endoscopic Bursectomy and Lesser Trochanter Decompression: A Case Report

Abstract

Keywords

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