Bursite iliopectínea: relato de caso

Abstract

Although there are not many reports in literature, iliopectineal bursitis presents clinically with signs and symptoms frequently found in outpatient services and practice. Its clinical presentation is anterior hip pain that worsens with the extension, abduction and internal rotation of the hip. The diagnosis is confirmed by ultrasound or magnetic nuclear resonance imaging of the hip. The iliopectineal bursitis responds well to conservative treatment with non-hormonal antiinflammatory drugs and rest. Due to its good evolution, it is not rare to treat iliopectineal bursitis successfully without even knowing what is being treated.

Iliopectineal Bursitis in a Patient With Spondyloarthritis

“…Patient was treated with nonsteroidal anti-inflammatory drugs with complete resolution.The IB is mostly associated with rheumatoid arthritis, but its association with AS is poorly reported. 4 The recurrent inflammation at the hip joint causes weakness of the anterior capsule allowing communication between the joint and bursa, which occurs in almost 10% to 15% of the cases. 5 Our patient's case history suggests a possible traumatic cause, but an association with hip synovitis and secondary osteoarthritis cannot be excluded, despite that no communication with hip joint was identified.…”

“…The IB is mostly associated with rheumatoid arthritis, but its association with AS is poorly reported 4 . The recurrent inflammation at the hip joint causes weakness of the anterior capsule allowing communication between the joint and bursa, which occurs in almost 10% to 15% of the cases 5 …”