M71.059 Abscess of bursa, unspecified hip

Name of the Condition

• Abscess of bursa, unspecified hip

Summary

An abscess of the bursa, unspecified hip is a localized collection of pus within the bursa of the hip, a small fluid-filled sac that reduces friction between tissues. This condition typically causes pain, swelling, and warmth at the affected site. The unspecified hip designation indicates the abscess is localized to the bursa in the hip region without specifying left or right.

Causes

Abscesses of the 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 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 hip bursa

Symptoms

• Localized pain, tenderness, or throbbing in the 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, and aspiration of the bursa may be performed to identify the causative organism.

Treatment Options

Treatment typically includes antibiotics for bacterial infections and drainage of the abscess, either through aspiration or surgical intervention. Pain management and rest may also be recommended to reduce inflammation and promote healing.

Prognosis and Follow-Up

With appropriate treatment, most bursal abscesses resolve without long-term complications. Follow-up care may involve monitoring for recurrence or signs of systemic infection, especially in immunocompromised patients.

Complications

Untreated abscesses may lead to the spread of infection, tissue damage, or chronic bursitis. Rupture of the abscess can result in systemic infection or sepsis.

Lifestyle & Prevention

• Avoid repetitive pressure or trauma to the hip area
• Maintain good skin hygiene to prevent infections
• Manage underlying conditions like diabetes or arthritis
• Seek prompt treatment for hip injuries or infections

When to Seek Professional Help

Consult a healthcare provider if you experience persistent hip pain, swelling, fever, or signs of infection. Immediate care is needed if the abscess ruptures or symptoms worsen.

Tips for Medical Coders

Document the site as "unspecified hip" when the left or right hip is not documented. Ensure clinical documentation supports the diagnosis, including signs, symptoms, or diagnostic findings related to the hip bursa.