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MODERN RHEUMATOLOGY Vol.14 No.3

>MR14-3

A case of femoral nerve palsy caused by iliopectineal bursitis associated with rheumatoid arthritis
Satoshi Mori1 , Tomoo Tamura2, Satoshi Komatsubara1, Yoji Kawaguchi1, Satoshi Todo3, Masayuki Inoo4, Noriyuki Kurata5 and Hiromichi Norimatsu1

(1) Department of Orthopedic Surgery, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan
(2) Department of Orthopedic Surgery, Center of Rheumatic Disease, Dohgo Spa Hospital, Ehime, Japan
(3) Department of Orthopedic Surgery, Kinashi Ohbayashi Hospital, Kagawa, Japan
(4) Department of Rheumatology, Utazu-Hama Clinic, Kagawa, Japan
(5) Department of Rheumatology, Utazu Clinic, Kagawa, Japan

Received: 06 December 2003 Accepted: 07 February 2004

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Abstract

 We report the case of a 46-year-old woman with rheumatoid arthritis who developed femoral nerve palsy caused by an enlarged iliopectineal bursa. Surgical excision revealed that the iliopectineal bursa was connected with the hip joint. The patient showed good recovery from the femoral nerve palsy after surgery. It was considered that iliopectineal bursitis had developed following the synovial inflammation of the hip joint.
 
Key words
Femoral nerve palsy - Hip joint - Iliopectineal bursa - Rheumatoid arthritis (RA) - Synovial cyst
 
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