髂腰肌滑囊炎（Iliopsoas bursitis）

What is the Iliopsoas Bursitis?

It is the inflammation of the iliopsoas bursa (the largest bursa in the body) that lies between the front of the hip joint and the iliopsoas muscle (a hip flexor). It helps reduce rubbing and friction between the bones and soft tissues that meet at your hip joint capsule. It can also be mistaken for iliopsoas tendinitis or hip joint arthritis. It can become inflamed due to overuse or trauma, which can result in muscle tightness or imbalance.

什么是髂腰肌滑囊炎？

髂腰肌囊炎（人体最大的滑囊）是位于髋关节的前部和髂腰肌（髋屈肌）之间滑囊的炎症；有助于髋关节囊减少骨骼和软组织之间摩擦与阻力。它可能被误诊为髂腰肌肌腱炎或髋关节炎。一般是由于过度使用或创伤而引起，会导致肌肉紧张或不平衡。

What causes Iliopsoas bursitis?

It is most commonly the result of the following:

• Hip Pathology

• Rheumatoid Arthritis

• Osteoarthritis

• Recreational Injuries which require repeated hip flexing, such as

• Soccer

• Ballet

• Jumping Hurdles

• Martial Arts
  

• Infection of the bursa (which is rare)

髂腰肌滑囊炎病因：

常见病因如下：

• 髋关节病变

          类风湿性关节炎

          骨关节炎

• 反复髋关节屈曲的运动损害

           足球

           芭蕾

           跳跃障碍

           武术

• 滑囊感染（罕见）

鉴别诊断：应注意与腰大肌血肿、髂血管异常、股疝、腹股沟疝进行鉴别。

      髂腰肌囊扩张（enlarged iliopsoas bursa）常发生于滑囊炎及多种髋关节疾病。当髋关节发生某些病变,关节囊内渗出的液体积聚,致关节内压力增高而膨隆。此时少数与髋关节相通的髂腰肌囊可直接充盈扩张;而与髋关节囊不相通的髂腰肌囊,其与髋关节囊间的纤维隔膜在髋关节囊高压和髂腰肌(腱)的异常牵拉、磨损下易破裂而充盈扩张。

病例图片：