Iliopsoas bursitis

Dr Laurent Bilodeau and Dr Henry Knipe et al.

Iliopsoas bursitis usually presents as non-specific anterior hip pain and can be due to a number of causes, the 3 main causes being acute trauma, overuse injuries, and rheumatoid arthritis.

Iliopsoas bursitis can occur primarily, e.g. secondary to a snapping iliopsoas tendon or 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, osteoarthritis, avascular necrosis, synovial chondromatosis, pigmented villonodular synovitis, 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

Article information

rID: 61475
Synonyms or Alternate Spellings:
  • Iliopsoas bursal inflammation

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Cases and figures

  • Case 1: right sided
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  • Case 2 - iliopsoas bursitis causing femoral nerve palsy
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