Case history

Case history #1

A 40-year-old man presents with a 2-year history of increasing heel pain. Physical exam reveals a posterior redness and swelling with a palpable bump, which is tender on direct palpation.

Case history #2

A 60-year-old woman presents with progressive complaints of lateral hip and thigh pain associated with a disabling limp, without a previous history of trauma or lumbar pathology. Physical exam shows localized pain over the greater trochanter to palpation and a full pain-free range of motion of the hip.

Other presentations

Presenting symptoms and signs vary according to the anatomic site of the affected bursa, but localized swelling and fluctuance are usually present. Male patients with inflammation of the iliopsoas or iliopectineal bursa can present with chronic back and hip pain that radiates into the scrotum and down the anterior aspect of the thigh and is refractory to both surgical and medical management.[1]

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