Femoral nerve palsy caused by ileopectineal bursitis after total hip replacement: a case report

<p>Abstract</p> <p>Introduction</p> <p>Infectious ileopectineal bursitis is a rare complication after total hip replacement and is associated mainly with rheumatoid arthritis. The main complications are local swelling and pain, but communication of the inflamed bursa wi...

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Main Authors: Bähr Mathias, von Gottberg Philipp, Liman Jan, Kermer Pawel
Format: Article
Language:English
Published: BMC 2011-05-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/5/1/190
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author Bähr Mathias
von Gottberg Philipp
Liman Jan
Kermer Pawel
author_facet Bähr Mathias
von Gottberg Philipp
Liman Jan
Kermer Pawel
author_sort Bähr Mathias
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Infectious ileopectineal bursitis is a rare complication after total hip replacement and is associated mainly with rheumatoid arthritis. The main complications are local swelling and pain, but communication of the inflamed bursa with the joint can occur, leading to subsequent cartilage damage and bone destruction.</p> <p>Case presentation</p> <p>We report a case of a 47-year-old Caucasian woman without rheumatoid arthritis who reported pain and palsy in her left leg almost one year after total hip replacement. She was diagnosed with an ileopectineal bursitis after total hip replacement, leading to femoral nerve palsy. The diagnosis was obtained by thorough clinical examination, the results of focused computed tomography and magnetic resonance imaging.</p> <p>Conclusion</p> <p>To the best of our knowledge, this is the first report of non-infectious ileopectineal bursitis in a patient without rheumatoid arthritis as a complication of total hip replacement. This rare case underlines the importance of proper neurologic examination of persistent conditions after orthopedic intervention in otherwise healthy individuals. We believe this case should be useful for a broad spectrum of medical specialties, including orthopedics, neurology, radiology, and general practice.</p>
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spelling doaj.art-77d270a175254709a80e1034f87705962022-12-21T21:20:30ZengBMCJournal of Medical Case Reports1752-19472011-05-015119010.1186/1752-1947-5-190Femoral nerve palsy caused by ileopectineal bursitis after total hip replacement: a case reportBähr Mathiasvon Gottberg PhilippLiman JanKermer Pawel<p>Abstract</p> <p>Introduction</p> <p>Infectious ileopectineal bursitis is a rare complication after total hip replacement and is associated mainly with rheumatoid arthritis. The main complications are local swelling and pain, but communication of the inflamed bursa with the joint can occur, leading to subsequent cartilage damage and bone destruction.</p> <p>Case presentation</p> <p>We report a case of a 47-year-old Caucasian woman without rheumatoid arthritis who reported pain and palsy in her left leg almost one year after total hip replacement. She was diagnosed with an ileopectineal bursitis after total hip replacement, leading to femoral nerve palsy. The diagnosis was obtained by thorough clinical examination, the results of focused computed tomography and magnetic resonance imaging.</p> <p>Conclusion</p> <p>To the best of our knowledge, this is the first report of non-infectious ileopectineal bursitis in a patient without rheumatoid arthritis as a complication of total hip replacement. This rare case underlines the importance of proper neurologic examination of persistent conditions after orthopedic intervention in otherwise healthy individuals. We believe this case should be useful for a broad spectrum of medical specialties, including orthopedics, neurology, radiology, and general practice.</p>http://www.jmedicalcasereports.com/content/5/1/190
spellingShingle Bähr Mathias
von Gottberg Philipp
Liman Jan
Kermer Pawel
Femoral nerve palsy caused by ileopectineal bursitis after total hip replacement: a case report
Journal of Medical Case Reports
title Femoral nerve palsy caused by ileopectineal bursitis after total hip replacement: a case report
title_full Femoral nerve palsy caused by ileopectineal bursitis after total hip replacement: a case report
title_fullStr Femoral nerve palsy caused by ileopectineal bursitis after total hip replacement: a case report
title_full_unstemmed Femoral nerve palsy caused by ileopectineal bursitis after total hip replacement: a case report
title_short Femoral nerve palsy caused by ileopectineal bursitis after total hip replacement: a case report
title_sort femoral nerve palsy caused by ileopectineal bursitis after total hip replacement a case report
url http://www.jmedicalcasereports.com/content/5/1/190
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AT vongottbergphilipp femoralnervepalsycausedbyileopectinealbursitisaftertotalhipreplacementacasereport
AT limanjan femoralnervepalsycausedbyileopectinealbursitisaftertotalhipreplacementacasereport
AT kermerpawel femoralnervepalsycausedbyileopectinealbursitisaftertotalhipreplacementacasereport