Iliopsoas bursal extension of lipohemarthrosis: A novel imaging finding associated with hip fracture

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• 作者：Gregory J. Czuczman ; Jacob C. Mandell ; Bharti Khurana
• 关键词：Hip fracture ; Proximal femoral fracture ; Femoral neck fracture ; Lipohemarthrosis ; Iliopsoas ; Fat ; fluid level ; Iliopsoas bursa ; Bursa ; Hip ; Intra ; articular fracture
• 刊名：Skeletal Radiology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：46
• 期：2
• 页码：253-257
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Imaging / Radiology; Orthopedics; Pathology; Nuclear Medicine;
• 出版者：Springer Berlin Heidelberg
• ISSN：1432-2161
• 卷排序：46

文摘

Lipohemarthrosis is well known to be associated with intra-articular fractures throughout the body. Despite the relatively common occurrence of hip fracture and the frequency of communication between the hip joint and iliopsoas bursa, to the best of our knowledge, a fat-fluid level involving the iliopsoas bursa secondary to a hip fracture has not previously been reported. The following is a case report of a 48-year-old male who sustained an acute femoral neck fracture and was found to have distension of the iliopsoas bursa with a fat-fluid level resulting from extra-capsular extension of a lipohemarthrosis. The imaging findings, relevant anatomy, and potential importance of this finding for the detection of hip fracture are discussed.