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Synovial cysts of the hip joint and iliopsoas bursitis: A spectrum of imaging abnormalities
Authors:David J. Sartoris M.D.  Larry Danzig M.D.  Louis Gilula M.D.  Guerdon Greenway M.D.  Donald Resnick M.D.
Affiliation:(1) Department of Diagnostic Radiology, Veterans Administration Medical Center, USA;(2) Department of OrthopedicSurgery, Veterans Administration Medical Center, USA;(3) University of California Hospital, San Diego, California, USA;(4) Mallinckrodt Institute of Radiology, St. Louis, Missouri, USA;(5) Department of Radiology, Baylor University Medical Center, Dallas, Texas, USA;(6) Department of Radiology, Veterans Administration, Medical Center, 3350 La Jolla Village Drive, 92161 San Diego, CA, USA
Abstract:Synovium-related soft tissue disease around the hip constitutes a spectrum ranging from isolated iliopsoas bursitis to pure articular synovial herniations without bursal involvement. The clinical, pathologic, and radiographic features of these entities are discussed as they pertain to the variety of underlying disorders which predispose to their occurrence. Nine case reports are utilized to illustrate the variable clinical and radiographic presentations which may be encountered. Based upon these cases as well as those in the literature, an imaging algorithm has been developed which should eliminate unnecessary studies and allow prompt and accurate diagnosis.
Keywords:Synovial membrane, cysts  Synovial membrane  Bursa  Bursitis  Hip, arthritis  Hip, radiography  Hip, arthrography  Hip, abnormalities
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