Bursectomy around the hip joint effusion, swelling and inflammation known hip bursitis (hip bursitis). Many bursectomy around the hip, relatively close relationship with the three clinical iliac shame bursectomy : (psoas muscle bursectomy) greater trochanter bursectomy and ischium bursectomy.

(1) iliac shame shame bursectomy at iliopsoas bursitis iliac and iliofemoral ligament between the upper rear of the iliac shame carina. the top of the hip capsule and medial femoral nerve to the femoral vessels, the tank often linked with the hip cavity (Figure -3). Bursectomy inflammation shares triangle swelling, pain and tenderness, pain when hip flexion or extension. Femoral nerve stimulation or by oppression, thigh pain before radiotherapy to the medial side and legs. Bursectomy excessive swelling in the groin when normal depression disappeared and a sense of volatility. Hip involved, the direction of movement is subject to various restrictions and pain. The diagnosis of lesions with hip, lumbosacral tuberculosis, psoas muscle abscess and other obturator hernia differential. Treatment should address the causes and deal with them. Septic Bursitis iliac shame, drainage, and effective use of antibiotics. Iliac shame traumatic bursitis, acute phase should rest on puncture or after injection of Cortisone acetate injection of HCA A notable effect; Chronic conservative treatment fails, surgical resection should bursectomy, bearing in mind that with the same characteristics of the hip.

(B) greater trochanter bursitis greater trochanter bursectomy greater trochanter and the gluteus maximus located between the tendon is room on the ganglion. With the big arm rotor due to the friction and tendon inflammation, followed by tuberculosis and suppurative bursitis. The main symptoms as pain in the rear rotor, localized swelling and tenderness are not lying to the affected, sometimes with claudication. When bursectomy swelling, big rear rotor normal depression disappeared, and we can lay hands on oblate cystic masses. Patients often take hip flexor posture, hip internal rotation, it would aggravate the pain, but normal hip passive movement. After a few lateral thigh pain to be radiotherapy, with lumbar disc herniation and identifying piriformis syndrome. Also, with greater trochanter Epiphysitis, rotor suppurative osteomyelitis. coxotuberculosis femur and other identification 3rd disguise. The disease can be more conservative therapies include rest, physiotherapy, puncture fluid, such as hormone therapy drugs block better. If bursectomy already festering, drainage. Bursitis such as tuberculosis, in descending bursectomy with systemic anti-TB medication.

(C) ischial bursitis ischium bursectomy located between the gluteus maximus and the ischial tuberosity, also called ischium - gluteus bursectomy. The bursitis is common in the long sitting paralyzed by the elderly, especially those who are long-term sitting on the hard seats. Due to the long oppressed, caused friction. It is also called "weaving buttocks." Sit under the influence of pain, and a palpable force larger cystic mass, size volatile prescription. By sciatic nerve stimulation, there will be symptoms of sciatica. As bursectomy the superior general diagnosis is not difficult. Prevention and treatment must be combined in a thick padded seats add to simultaneously extract was injected into the puncture hormone drugs generally more effective, will gradually disappear. Persistent and symptoms of a serious, viable synovectomy was performed. var iadtimes=0;

This article was posted on 2007-02-27