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MODERN RHEUMATOLOGY Vol.16 No.1

Vol.16 No.1 に戻る


CASE REPORT

Enlarged psoas muscle and iliopsoas bursitis associated with a rapidly destructive hip in a patient with rheumatoid arthritis

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Takumi Matsumoto1, 2 , Takuo Juji1 and Tosihito Mori1

(1) Department of Orthopaedic Surgery, National Hospital Organization, Sagamihara National Hospital, 18-1 Sakuradai, Sagamihara 228-0815, Japan
(2) Present address: Department of Orthopaedic Surgery, Tokyo Metropolitan Geriatric Medical Center, 35-2 Sakae-chou, Itabashi-ku, Tokyo 173-0015, Japan

Received: 26 September 2005 Accepted: 06 December 2005

Abstract A 39-year-old man with rheumatoid arthritis developed femoral neuropathy secondary to iliopsoas bursitis. The adjacent hip joint was severely damaged. Magnetic resonance imaging showed enlargement and inflammation of the psoas muscle at the same side of iliopsoas bursitis. Iliopsoas bursitis and abnormal findings of the psoas muscle disappeared while the symptoms improved.

Key words Femoral neuropathy - Iliopsoas bursitis - Magnetic resonance imaging - Psoas muscle - Rheumatoid arthritis


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