M71.051 Abscess of bursa, right hip

Name of the Condition

• Abscess of bursa, right hip

Summary

An abscess of the bursa, right hip is a localized collection of pus within the bursa of the right hip, a small fluid-filled sac that reduces friction between tissues. This condition typically causes pain, swelling, and warmth at the affected site. The right hip-specific designation indicates the abscess is localized to the bursa in the right hip region.

Causes

Abscesses of the right hip bursa usually result from bacterial infection, often introduced through direct trauma, skin breakdown, or spread from adjacent tissues. Staphylococcus aureus is a common causative organism. Non-infectious causes, such as foreign body reaction or sterile inflammation, are less frequent.

Risk Factors

• Recent injury or surgery near the right hip bursa
• Skin infections or open wounds in the hip area
• Immunocompromised states (e.g., diabetes, HIV)
• Chronic inflammatory conditions (e.g., rheumatoid arthritis)
• Repetitive motion or pressure on the right hip bursa

Symptoms

• Localized pain, tenderness, or throbbing in the right hip
• Swelling, redness, or warmth over the bursa
• Limited range of motion in the hip joint
• Possible fever or systemic signs if infection spreads
• Pus drainage if the abscess ruptures

Diagnosis

Diagnosis involves a physical examination to assess bursal swelling, warmth, and tenderness. Imaging (e.g., ultrasound) may confirm fluid collection. Aspiration of the bursa may be performed to identify the causative organism and guide treatment.

Treatment Options

Treatment typically includes antibiotic therapy to address the underlying infection. Drainage of the abscess may be necessary, either through needle aspiration or surgical intervention. Rest and activity modification can help reduce inflammation and promote healing.

Prognosis and Follow-Up

With appropriate treatment, most cases resolve without long-term complications. Follow-up care may include monitoring for recurrence or persistent infection. Physical therapy may be recommended to restore function if mobility is affected.

Complications

Untreated abscesses can lead to the spread of infection, sepsis, or damage to surrounding tissues. Chronic inflammation may result in persistent pain or reduced mobility.

Lifestyle & Prevention

Avoiding trauma to the hip area and maintaining good skin hygiene can reduce infection risk. Managing underlying conditions, such as diabetes, may also help prevent abscess formation.

When to Seek Professional Help

Seek medical attention if symptoms worsen, fever develops, or pus drainage occurs. Prompt evaluation is important to prevent complications.

Tips for Medical Coders

Document the specific location (right hip) and confirm the presence of an abscess. Ensure clinical documentation supports the diagnosis to justify code assignment.