Skip to main content

Advertisement

Log in

Femoral nerve palsy caused by a huge iliopectineal synovitis extending to the iliac fossa in a rheumatoid arthritis case

  • Case Report
  • Published:
Modern Rheumatology

Abstract

We report on a 54-year-old woman with rheumatoid arthritis who had severe femoral nerve palsy affected by a distended synovium in the hip joint. Surgical exploration demonstrated a perforation of the iliopectineal bursa connecting with the hip joint. The patient fully recovered from femoral nerve palsy after surgery. It was considered that synovitis of the hip joint had developed following huge iliopectineal bursitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Toris T, Chosa H, Kitano M. Rheumatoid synovial cyst of the hip. Clin Orthop. 1978;137:191–3.

    Google Scholar 

  2. Letourneau L, Dessureault M, Carette S. Rheumatoid iliopsoas brusitis presenting as unilateral femoral nerve palsy. J Rheumatol. 1991;18:462–3.

    PubMed  CAS  Google Scholar 

  3. Kataoka M, Toris T, Nakamura M, Uchida K. Iliopsoas bursa of the rheumatoid hip joint. A case report and review of the literature. Clin Rheumatol. 1995;14:358–64.

    Article  PubMed  CAS  Google Scholar 

  4. Generini S, Matucci-Cerinic M. Rheumatoid synovial cyst of the hip joint. Clin Exp Rheumatol. 1993;11:549–51.

    PubMed  CAS  Google Scholar 

  5. Warren R, Kaye JJ, Salrati EA. Arthrographic demonstration of an enlarged ipiopsoas bursa complicating osteoarthritis of the hip joint. J Bone Joint Surg. 1975;57A:413–5.

    Google Scholar 

  6. Kolmert L, Persson BM, Herrlin K, Ekelund L. Iliopectinael bursitis following total hip replacement. Acta Orthop Scand. 1984;55:63–5.

    Article  PubMed  CAS  Google Scholar 

  7. Carr CR, Berley FV, Davis WC. Pigmented villonodular synovitis of the hip joint. J Bone Joint Surg. 1954;36-A:1007–13.

    PubMed  CAS  Google Scholar 

  8. Baito C, Nashiki H, Ishimaru A, Miyamoto M. A case report of femoral nerve palsy due to the iliopectineal bursitis in a hemodialysis (in Japanese). Seikeigeka. 1994;45:60–3.

    Google Scholar 

  9. Chandler SB. The iliopsoas bursa in man. Anat Rec. 1934;58:235–40.

    Article  Google Scholar 

  10. Coventry MB, Polley HF, Weiner AD. Rheumatoid synovial cyst of hip. J Bone Joint Surg. 1959;41A:721–30.

    Google Scholar 

  11. Shiga T, Watanabe N, Sugita M, Kamada Y, Inoue S, Kubo T. Two cases of osteochondromatosis which developed in the iliopectineal bursae of an osteoarthritic hip. Mod Rheumatol. 2001;11:360–2.

    Article  Google Scholar 

  12. Kim DH, Murovic JA, Tiel RL, Kline DG. Intrapelvic and thighlevel femoral nerve lesions: management and outcomes in 119 surgically treated cases. J Neurosurg. 2004;100:989–96.

    Article  PubMed  Google Scholar 

  13. Eustace S, Mccarthy C, O’Bryne J, Breatnach E, Fitzgerald E. Computed tomography of the retroperitoneum in patients with femoral neuropathy. Can Assoc Radiol J. 1994;45:277–83.

    PubMed  CAS  Google Scholar 

  14. Kokubun K. Anatomical and clinical study on the femoral nerve lesion (in Japanese). Nippon Seikeigeka Gakkai Zasshi. 1983;57(1):65–77.

    PubMed  CAS  Google Scholar 

  15. Shane P, Jeffrey C, Ronald F, Omaida V, Marc M. Femoral neuropathy following retroperitoneal hemorrhage: case series and review of the literature. Ann Vasc Surg. 2006;20(4):536–40.

    Article  Google Scholar 

  16. Mori S, Tamura T, Komatsubara S, Kawaguchi Y, Todo S, Inoo M, et al. A case of femoral nerve palsy caused by iliopectineal bursitis associated with rheumatoid arthritis. Mod Rheumatol. 2004;14:274–8.

    PubMed  Google Scholar 

  17. Matsumoto T, Juji T, Mori T. Enlarged psoas muscle and iliopsoas bursitis associated with a rapidly destructive hip in a patient with rheumatoid arthritis. Mod Rheumatol. 2006;16(1):52–4.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest statement

This article does not contribute to any conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masaki Tatsumura.

About this article

Cite this article

Tatsumura, M., Mishima, H., Shiina, I. et al. Femoral nerve palsy caused by a huge iliopectineal synovitis extending to the iliac fossa in a rheumatoid arthritis case. Mod Rheumatol 18, 81–85 (2008). https://doi.org/10.1007/s10165-007-0009-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10165-007-0009-9

Keywords

Navigation