A case of herniation of the capsule in the hip.
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A herniation of the capsule in the hip caused by articular effusion is very rare. A 72-year-old man who had osteoarthritis of the left hip noticed left inguinal mass for the last 4 or 5 years. The mass was gradually getting larger in size and gait pain annoyed him.On admission, the left hip showed limitation of motion, particularly in flexion, extension, and abduction. Surgical excision was carried out. The mass was noted to be anterior herniation of the capsule and to compress the femoral nerve and vessels.It was similar to iliopsoas bursa, but CT-scan, macroscopic examination and histologic study revealed that it was not likely to the bursa.Removal of the capsule relieved his complaints, but subsequently a half year later, THR was performed.
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