M71.052 Abscess of bursa, left hip

Name of the Condition

• Abscess of bursa, left hip

Summary

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

Causes

Abscesses of the left 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 left 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 left hip bursa

Symptoms

• Localized pain, tenderness, or throbbing in the left 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 can identify purulent material and guide microbiological testing. Clinical correlation with symptoms and history is essential.

Treatment Options

Treatment typically includes antibiotic therapy to address infection, often guided by culture results. Drainage of the abscess may be necessary, either through needle aspiration or surgical intervention. Rest, elevation, and pain management support recovery. Physical therapy may help restore mobility once inflammation subsides.

Prognosis and Follow-Up

With prompt treatment, most abscesses of the left hip bursa resolve without long-term complications. Follow-up ensures infection clearance and monitors for recurrence. Chronic or untreated cases may lead to persistent pain or functional impairment. Regular assessments help adjust treatment as needed.

Complications

Potential complications include spread of infection to surrounding tissues, sepsis, or chronic bursitis. Scarring or reduced mobility may occur if the abscess causes tissue damage. Early intervention minimizes these risks.

Lifestyle & Prevention

Avoid repetitive pressure or trauma to the left hip. Maintain skin integrity and promptly treat infections or wounds in the area. Good hygiene and managing underlying conditions (e.g., diabetes) reduce infection risk. Proper ergonomics during activity can prevent bursal irritation.

When to Seek Professional Help

Seek care if pain worsens, swelling persists, or systemic symptoms (e.g., fever) develop. Immediate evaluation is needed if the abscess ruptures or if mobility is severely limited. Early intervention prevents complications.

Tips for Medical Coders

Document the left hip specificity and confirm bursal involvement. Ensure clinical notes support the diagnosis, including physical exam findings or imaging results. Code M71.052 is used when the abscess is localized to the left hip bursa; avoid using this code for unspecified or bilateral cases.