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

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Abstract

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.

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References

  1. Armstrong P, Saxton H (1972) Ilio-psoas bursa. Br J Radiol 45:493

    Google Scholar 

  2. Baker WM (1885) Formation of abnormal synovial cysts in connection with joints. St. Bartholomew Hosp Rep 21:177

    Google Scholar 

  3. Bywaters EGL (1965) The bursae of the body. Ann Rheum Dis 24:215

    Google Scholar 

  4. Carr CR, Berley FV, Davis WS (1954) Pigmented villonodular synovitis of hip joint: case report. J Bone Joint Surg [Am] 36:1007

    Google Scholar 

  5. Carrera GF, Papadakes N, Imray TJ (1980) Retropsoas extension of ruptured hip capsule: arthrographic demonstration. AJR 135:1293

    Google Scholar 

  6. Case TC (1958) Synovial cyst of the right hip joint. NY State J Med 58:4079

    Google Scholar 

  7. Chaiamnuay P, Davis P (1984) An unusual case of inguinal swelling. Arthritis Rheum 27:239

    Google Scholar 

  8. Chandler SB (1934) The iliopsoas bursa in man. Anat Rec 58:235

    Google Scholar 

  9. Cook TK (1952) Ganglion of the hip: case report. Surgery 32:129

    Google Scholar 

  10. Coventry MB, Polley HF, Weiner AD (1959) Rheumatoid synovial cyst of the hip. J Bone Joint Surg [Am] 41:721

    Google Scholar 

  11. Cullen TS (1910) A large cystic tumor developing from the iliopsoas bursa containing large free cartilagenous masses and communicating with the hip joint. JAMA 54:1181

    Google Scholar 

  12. Dahlin DC (1957) Bone tumors: general aspects and an analysis of 2,276 cases. Charles C. Thomas, Springfield, p 264

    Google Scholar 

  13. Eisenberg KS, Johnston JO (1972) Synovial chondromatosis of the hip joint presenting as an intrapelvic mass. A case report. J Bone Joint Surg [Am] 54:176

    Google Scholar 

  14. Finder JG (1938) Iliopectineal bursitis. Arch Surg 36:519

    Google Scholar 

  15. Freiberger R, Kaye J (1979) Arthrography. Appleton-Century-Crofts, New York, p 192

    Google Scholar 

  16. Freund E (1940) The pathological significance of intra-articular pressure.Edinburgh Med J 47:192

    Google Scholar 

  17. Fricke JI (1834) Ueber die Bursa mucosa iliaca und deren Communickation mit dem Hueftgelenke. J Chirurgie Augen-Heilkunde 21:223

    Google Scholar 

  18. Gardner DL (1978) Pathology of rheumatoid arthritis. In: Copeman's textbook of the rheumatic diseases. 5th edn. Churchill Livingstone, Edinburgh, p 273

    Google Scholar 

  19. Gatch WD, Green WT (1925) Cysts of the ilio-psoas bursa. Ann Surg 82:277

    Google Scholar 

  20. Gerber NJ, Dixon ASJ (1974) Synovial cysts and juxta-articular bone cysts (geodes). Semin Arthritis Rheum 3:323

    Google Scholar 

  21. Goldberg RP, Weissman BN, Naimarck A, Braunstein E (1983) Femoral neck erosions: sign of hip joint synovial disease. AJR 141:107

    Google Scholar 

  22. Herrington JL, Edwards LW (1955) Ganglion cysts arising in unusual locations. Ann Surg 142:900

    Google Scholar 

  23. Hucherson DC, Denman FR (1946) Non-infectious iliopectineal bursitis. Am J Surg 72:576

    Google Scholar 

  24. Hucherson DC, Freeman GE Jr (1962) Iliopectineal bursitis. A cause of hip pain frequently unrecognized. Am J Orthop 4:220

    Google Scholar 

  25. Jacobs P, Goei The HS, Bijlsma A, Versteege CW (1983) Rheumatoid synovial cyst of the hip. Arthritis Rheum 26:814

    Google Scholar 

  26. Janus CL, Hermann G (1982) Enlargement of the iliopsoas bursa: unusual cause of cystic mass on pelvic sonogram. J Clin Ultrasound 10:133

    Google Scholar 

  27. Jayson MIV (1968) Study of a valvular mechanism, in the formation of synovial cysts. Ann Phys Med 9:243

    Google Scholar 

  28. Jayson MIV, Dixon ASJ (1970) Valvular mechanisms in juxta-articular cysts. Ann Rheum Dis 29:415

    Google Scholar 

  29. Johnson EW Jr, Granberry WM (1962) Ganglion cyst of the hip: report of three cases. Am J Othop 4:216

    Google Scholar 

  30. Keller C, Leden I, Lidgren L, Stenberg T (1980) Anaerobic bacterial coxitis and pseudocystic tumor in rheumatoid arthritis. Scand J Rheumatol 9:216

    Google Scholar 

  31. Kessel F (1927) Über die Bursa mucosa iliopectinea, ihre Entwicklung und ihre Kommunikation mit der Kapsel des Hüftgelenkes. Morphol Jahrb 58:413

    Google Scholar 

  32. Kolmert L, Persson BM, Herrlin K, Ekelund L (1984) Ileopectineal bursitis following total hip replacement. Acta Orthop Scand 55:63

    Google Scholar 

  33. Kummer E, deSenarclens P (1917) Un cas d'hygroma chronique de la bourse du psoas-iliaque ou iliopectinee. Rev Med Suisse Romande 37:574

    Google Scholar 

  34. Lehner A (1924) Zur Schleimbeutel- und Gelenksosteochondromatose. Schweiz Med Wochenschr 18:634

    Google Scholar 

  35. Levy RN, Hermann G, Haimov M, Sherry HS, Train JS, Davison S (1982) Rheumatoid synovial cyst of the hip. Arthritis Rheum 25:1382

    Google Scholar 

  36. Lund FB (1902) The iliopsoas bursa. Boston Med Surg J 147:345

    Google Scholar 

  37. Margreiter R, Steiner E, Mikuz C (1978) Das Ganglion des Hüftgelenkes. Chirurg 49:620

    Google Scholar 

  38. McBeath AA, Neidhart DA (1976) Acetabular cyst with communicating ganglion. A case report. J Bone Joint Surg [Am] 58:267

    Google Scholar 

  39. Melamed M, Bauer CA, Johnson JH (1967) Iliopsoas bursal extension of arthritic disease of the hip. Radiology 89:54

    Google Scholar 

  40. Menninger W (1932) Über Entzündung der Bursa iliopectinea. Dtsch Z Chir 237:775

    Google Scholar 

  41. O'Conner DS (1933) Early recognition of iliopectineal bursitis. Surg Gynecol Obstet 57:674

    Google Scholar 

  42. Penkava RR (1980) Iliopsoas bursitis demonstrated by computed tomography. AJR 135:175

    Google Scholar 

  43. Peters JC, Coleman BG, Turner ML, Arger PH, Mulhern CB Jr, Dalinka MK, Allan DA, Schumacher HR (1980) CT evaluation of enlarged iliopsoas bursa. AJR 135:392

    Google Scholar 

  44. Resnick D, Niwayama G (1981) Diagnosis of bone and joint disorders with emphasis on articular abnormalities. Saunders, Philadelphia, p 880, 1015, 1019, 1156, 1495, 1500, 2103

    Google Scholar 

  45. Samuelson C, Ward JR, Albo D (1971) Rheumatoid synovial cyst of the hip. A case report. Arthritis Rheum 14:105

    Google Scholar 

  46. Staple TW (1972) Arthrographic demonstration of iliopsoas bursa extension of the hip joint. Radiology 102:515

    Google Scholar 

  47. Stephens VR (1944) Cystic tumor of iliopectineal bursa. Report of two cases. Arch Surg 49:9

    Google Scholar 

  48. Sumanovac Z (1959), Traumatic cyst in the hip joint. J Bone Joint Surg [Am] 41:175

    Google Scholar 

  49. Takahiko T, Hirofumi C, Moto K (1978) Rheumatoid synovial cyst of the hip joint. Clin Orthop 137:191

    Google Scholar 

  50. Torisu T, Chosa H, Kitano M (1978) Rheumatoid synovial cyst of the hip joint. A case report. Clin Orthop 137:191

    Google Scholar 

  51. Warren R, Kaye JJ, Salvati EA (1975) Arthrographic demonstration of an enlarged iliopsoas bursa complicating osteoarthritis of the hip. J Bone Joint Surg [Am] 57:413

    Google Scholar 

  52. Watson JD, Ochsner SF (1967) Compression of bladder due to “rheumatoid” cysts of hip joint. AJR 99:695

    Google Scholar 

  53. Weisser JR, Robinson DW (1951) Pigmented villonodular synovitis of iliopectineal bursa: case report. J Bone Joint Surg [Am] 33:988

    Google Scholar 

  54. Witter JA, Swingle NE (1957) Ilioinguinal swellings. Am J Surg 94:653

    Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Veterans Administration Medical Center, USA

    David J. Sartoris M.D. & Donald Resnick M.D.

  2. Department of OrthopedicSurgery, Veterans Administration Medical Center, USA

    Larry Danzig M.D.

  3. University of California Hospital, San Diego, California, USA

    Larry Danzig M.D.

  4. Mallinckrodt Institute of Radiology, St. Louis, Missouri, USA

    Louis Gilula M.D.

  5. Department of Radiology, Baylor University Medical Center, Dallas, Texas, USA

    Guerdon Greenway M.D.

Authors
  1. David J. Sartoris M.D.
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  2. Larry Danzig M.D.
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  3. Louis Gilula M.D.
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  4. Guerdon Greenway M.D.
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  5. Donald Resnick M.D.
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Sartoris, D.J., Danzig, L., Gilula, L. et al. Synovial cysts of the hip joint and iliopsoas bursitis: A spectrum of imaging abnormalities. Skeletal Radiol 14, 85–94 (1985). https://doi.org/10.1007/BF00349741

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