Case Report

Femoral nerve palsy caused by a huge iliopectineal synovitis extending to the iliac fossa in a rheumatoid arthritis case

Authors

Masaki Tatsumura¹, Hajime Mishima¹, Itsuo Shiina¹, Yuki Hara¹, Yasumasa Nishiura¹, Tomoo Ishii¹, Naoyuki Ochiai¹, Wataru Ishii² and Takayuki Sumida²

1. Department of Orthopaedic Surgery, Advanced Biomedical Applications, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba Ibaraki, 305-8575, Japan
2. Division of Clinical Immunology, Advanced Biomedical Applications, Graduate School of Comprehensive Human Science, University of Tsukuba, 1-1-1 Tennodai, Tsukuba Ibaraki, 305-8575, Japan

Received:

8 June 2007

Accepted:

11 September 2007

Published online:

5 January 2008

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Abstract

We report on a 54-year-old woman with rheumatoid arthritis who had severe femoral nerve palsy affected by a distended synovium in the hip joint. Surgical exploration demonstrated a perforation of the iliopectineal bursa connecting with the hip joint. The patient fully recovered from femoral nerve palsy after surgery. It was considered that synovitis of the hip joint had developed following huge iliopectineal bursitis.

Key words

Femoral nerve palsy - Hip joint - Iliopectineal bursa - Rheumatoid arthritis - Synovitis