Skeletal Radiology

, Volume 14, Issue 2, pp 85-94

First online:

Synovial cysts of the hip joint and iliopsoas bursitis: A spectrum of imaging abnormalities

  • David J. SartorisAffiliated withDepartment of Diagnostic Radiology, Veterans Administration Medical Center
  • , Larry DanzigAffiliated withDepartment of OrthopedicSurgery, Veterans Administration Medical CenterUniversity of California Hospital
  • , Louis GilulaAffiliated withMallinckrodt Institute of Radiology
  • , Guerdon GreenwayAffiliated withDepartment of Radiology, Baylor University Medical Center
  • , Donald ResnickAffiliated withDepartment of Diagnostic Radiology, Veterans Administration Medical Center

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Synovium-related soft tissue disease around the hip constitutes a spectrum ranging from isolated iliopsoas bursitis to pure articular synovial herniations without bursal involvement. The clinical, pathologic, and radiographic features of these entities are discussed as they pertain to the variety of underlying disorders which predispose to their occurrence. Nine case reports are utilized to illustrate the variable clinical and radiographic presentations which may be encountered. Based upon these cases as well as those in the literature, an imaging algorithm has been developed which should eliminate unnecessary studies and allow prompt and accurate diagnosis.

Key words

Synovial membrane, cysts Synovial membrane Bursa Bursitis Hip, arthritis Hip, radiography Hip, arthrography Hip, abnormalities