Iliopsoas bursal extension of lipohemarthrosis: A novel imaging finding associated with hip fracture

Skeletal Radiol. 2017 Feb;46(2):253-257. doi: 10.1007/s00256-016-2532-2. Epub 2016 Nov 21.


Lipohemarthrosis is well known to be associated with intra-articular fractures throughout the body. Despite the relatively common occurrence of hip fracture and the frequency of communication between the hip joint and iliopsoas bursa, to the best of our knowledge, a fat-fluid level involving the iliopsoas bursa secondary to a hip fracture has not previously been reported. The following is a case report of a 48-year-old male who sustained an acute femoral neck fracture and was found to have distension of the iliopsoas bursa with a fat-fluid level resulting from extra-capsular extension of a lipohemarthrosis. The imaging findings, relevant anatomy, and potential importance of this finding for the detection of hip fracture are discussed.

Keywords: Bursa; Fat-fluid level; Femoral neck fracture; Hip; Hip fracture; Iliopsoas; Iliopsoas bursa; Intra-articular fracture; Lipohemarthrosis; Proximal femoral fracture.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls
  • Arthroplasty, Replacement, Hip
  • Bursa, Synovial / diagnostic imaging*
  • Bursa, Synovial / pathology*
  • Diagnosis, Differential
  • Femoral Neck Fractures / diagnostic imaging*
  • Femoral Neck Fractures / surgery
  • Hemarthrosis / diagnostic imaging*
  • Hemarthrosis / pathology*
  • Humans
  • Male
  • Middle Aged
  • Psoas Muscles / diagnostic imaging*
  • Psoas Muscles / pathology*
  • Tomography, X-Ray Computed