msk mri radiology conference

MRI Hip: Bursae around the Hip

Although we mostly talk about the trochanteric bursa, there are a number of bursa around the trochanter and hip which can get inflamed. This is a review of the bursa that can be seen on Hip MRI.

  1. Trochanteric Bursa

mri hip trochanteric bursa radiology education asia

mri hip trochanteric bursitis radiology education asia

Image Above: Trochanteric bursitis ( yellow arrow). Bursa lies in-between greater trochanter ( blue arrow), Gluteus Maximus ( red arrow) and the Iliotibial Tract ( black structure at tip of yellow arrow). Post contrast there is enhancement of the margins of the bursa in keeping with inflammatory change. 

2. Sub Gluteus Minimus Bursa

 

mri hip sub gluteus minimus bursa radiology education asia

Image Above: Sub Gluteus Minimus bursa ( yellow arrow) deep to gluteus minimum tendon ( blue arrow).

3. Sub Gluteus Medius Bursa.

mri hip sub gluteus minimus bursa radiology education asia

Image Above: Sub Gluteus Medius bursa ( yellow arrow) deep to gluteus medius tendon ( blue arrow).

4. Iliopsoas Bursa. 

mri hip ilio psoas bursa radiology education asia

Image Above: Normal ilio psoas tendon ( blue arrow). Normally will not see any fluid around the tendon.

mri hip ilio psoas bursa bursitis radiology education asia

Image Above: Iliopsoas tendon ( blue arrow) surrounded by the iliopsoas bursa ( yellow arrow). Note normal communication between joint and bursa ( red arrow). If there is a joint effusion it can decompress into teh iliopsoas bursa. 

5. Obturator Internus Bursa

hip mri obturator internus bursa bursitis radiology education asia

Image Above: Fluid seen in Obturator interns bursa ( blue arrow) lying between the ischium and obturator interns ( yellow arrows). 

 

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