장요근 점액낭염으로 인해 발생한 대퇴신경병증 - 증례 보고 -
Acute Femoral Neuropathy Associated with Iliopsoas Bursitis - A Case Report -
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
The iliopsoas bursa is a normal anatomical structure which is located between iliopsoas muscle and the anterior capsule of the hip. We report a rare case of iliopsoas bursitis with femoral neuropathy. A healthy 49-year-old man visited to out-patient clinic due to right leg weakness. He had swelling and pain on the right inguinal area about 2 weeks ago. Weakness of right hip flexor and knee extensor was noted as 2/5 MRC grade. Right thigh muscle atrophy was also shown. In electromyographic study, right femoral neuropathy with axonal loss was made. In pelvis magnetic resonance imaging study, we showed enlarged iliopsoas bursa with cellular debris. Therapy for iliopsoas bursitis, we aspirated collecting fluid with steroid injection in the iliopsoas bursa, then physical therapy was done.
Abstract
The iliopsoas bursa is a normal anatomical structure which is located between iliopsoas muscle and the anterior capsule of the hip. We report a rare case of iliopsoas bursitis with femoral neuropathy. A healthy 49-year-old man visited to out-patient clinic due to right leg weakness. He had swelling and pain on the right inguinal area about 2 weeks ago. Weakness of right hip flexor and knee extensor was noted as 2/5 MRC grade. Right thigh muscle atrophy was also shown. In electromyographic study, right femoral neuropathy with axonal loss was made. In pelvis magnetic resonance imaging study, we showed enlarged iliopsoas bursa with cellular debris. Therapy for iliopsoas bursitis, we aspirated collecting fluid with steroid injection in the iliopsoas bursa, then physical therapy was done.
참고문헌 (10)
- Toohey AK, "Iliopsoas bursitis: clinical features, radiographic findings, and disease associations", Semin Arthritis Rheum, 20, pp.41~47 (1990)
- 황승배, "총대퇴정맥을 압박하여 하지부종을 야기한 장요근 점액낭염", 대한영상의학회지, 55(2), pp.173~176 (2006), 대한영상의학회
- Tokita A, "Iliopsoas bursitis-associated femoral neuropathy exacerbated after internal fixation of an intertrochanteric hip fracture in rheumatoid arthritis: a case report", Mod Rheumatol, 18, pp.394~398 (2008)
- Park KS, "Hemorrhagic iliopsoas bursitis complicating well-functioning ceramic-on-ceramic total hip arthroplasty", J Arthroplasty (2009)
- Cheung YM, "Iliopsoas bursitis following total hip replacement", Arch Orthop Trauma Surg, 124, pp.720~723 (2004)
- Marquardt G, "Spontaneous haematoma of the iliac psoas muscle: a case report and review of the literature", Arch Orthop Trauma Surg, 122, pp.109~111 (2002)
- 최장석, "인공고관절 전치환술 후 발생한 장요근 점액낭염 - 증례 보고 -", 대한정형외과학회지, 42(3), pp.410~415 (2007), 대한정형외과학회
- Moon KH, "Iliopsoas bursitis associated with acetabular loosening after total hip arthroplasty:a case report", J Korean Hip Soc, 10, pp.15~19 (1998)
- 이춘기, "대퇴 골두 골괴사와 동반하여 발생한 증대된 장요근 점액낭 - 증례보고 -", 대한정형외과학회지, 40(2), pp.233~236 (2005), 대한정형외과학회
- Seijo-Mart nez M, "Acute femoral neuropathy secondary to an iliacus muscle hematoma", J Neurol Sci, 209, pp.119~122 (2003)
