Volume 18, Number 1, 81-85, DOI: 10.1007/s10165-007-0009-9

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Japan College of Rheumatology

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

Masaki Tatsumura, Hajime Mishima, Itsuo Shiina, Yuki Hara, Yasumasa Nishiura, Tomoo Ishii, Naoyuki Ochiai, Wataru Ishii and Takayuki Sumida

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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.

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

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