Sakai Takashi, Shimaoka Yasunori, Sugimoto Mizuo, Koizumi Toshiaki
Department of Orthopaedic Surgery, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
J Orthop Sci. 2004;9(4):404-7. doi: 10.1007/s00776-004-0799-y.
A case of calcific tendinitis of the gluteus medius is presented. Calcification was evident in the soft tissue adjacent to the greater trochanter on plain radiographs. On the initial magnetic resonance images (MRI), inflammatory edematous change was detected not only in the gluteus medius but also in the bone marrow of the greater trochanter, corresponding to the painful area. Three months later, calcification disappeared on plain radiographs and the femur showed normal signal intensity on MRI. Initial MRI excluded other diseases' including infection and bone tumor, and serial MRI confirmed that the change in extraosseous and intraosseous findings were in accordance with self-limiting clinical symptoms.
本文报告一例臀中肌钙化性肌腱炎病例。在骨盆正位X线片上,大转子旁软组织内可见明显钙化。初次磁共振成像(MRI)显示,不仅臀中肌,大转子骨髓内也出现炎性水肿改变,与疼痛部位相符。3个月后,X线片上钙化消失,MRI显示股骨信号强度正常。初次MRI排除了包括感染和骨肿瘤在内的其他疾病,系列MRI检查证实,骨外和骨内表现的变化与自限性临床症状相符。