Iliopectineal Bursitis

Introduction

  • The iliopectineal bursa lies deep to the iliopsoas tendon anterior to the hip joint
  • Bursitis commonly results from OA or RA
  • Other causes include overuse or direct trauma.
  • It occurs more commonly in women
  • It communicates with the joint capsule in 15% of cases

Clinical Presentation and Diagnosis

  • Rule out hip joint pathology by checking for a capsular pattern
  • Usuaslly insidious onset
  • Pain is located at the anterior hip and groin with possible lower abdominal pain
  • Patient may ambulate with psoatic gait, where the hip is ER, adducted, and flexed during swing phase
  • Pain with passive hip flexion with adduction, passive flexion with ER, and passive extension
  • Possible pain with resisted hip flexion
  • Tender to palpation just lateral to the femoral artery at the femoral triangle

Treatment

  • Ultrasound and IF current have been suggested (
  • Stretch tight structures, especially the iliopsoas
  • Strengthen external rotators has been suggested
  • Corticosteroid injection may be help
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