Iliopsoas bursitis

Last revised by Bouhouche Abdeldjalil on 29 Sep 2023

Iliopsoas bursitis usually presents as non-specific anterior hip pain and can be due to a number of causes, the three main causes being acute trauma, overuse injuries, and rheumatoid arthritis.

Iliopsoas bursitis can occur primarily, e.g. overuse, secondary to a snapping iliopsoas tendon, post-hip arthroplasty. The iliopsoas bursa frequently communicates with the hip joint and intra-articular pathology (e.g. osteoarthritis, rheumatoid arthritis) can result in an iliopsoas bursitis 1,2

Other causes include trauma, osteonecrosis, synovial chondromatosis, tenosynovial giant cell tumor, gout, and pyogenic infection 4

  • well-defined thin-walled fluid collection along the line of the iliopsoas tendon 1

  • contents can be homogeneous or heterogeneous 1 

  • may be superior to other modalities in showing a septations 5.

  • often shows a distended bursa

  • may be superior to other modalities in showing a communication between the bursa and the hip joint 5

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