Yun Ho Hyun, Park Jung Ho, Park Jong Woong, Lee Jae Wook
Orthopedic Department, Ansan Hospital, Korea University, Danwon-Gu, Ansan, South Korea.
Orthopedics. 2009 Jul;32(7):490. doi: 10.3928/01477447-20090527-13.
This article describes calcific tendinitis of the rectus femoris treated with a local injection of a mixture of steroid and local anesthetic under C-arm control. From March 2004 to May 2005, 6 patients were treated for calcific tendinitis of the rectus femoris at our institution and followed for at least 2 years. The male:female ratio was 1:5, and mean patient age was 41 years (range, 33-49 years). Calcifications were located in the direct head in 1 patient and in the reflected head of the rectus femoris in 5. One patient underwent open surgical removal and 5 were treated with a local steroid and anesthetic injection. The patient undergoing surgical removal obtained immediate pain relief but reported discomfort in the wound area for 10 days postoperatively. The 5 patients receiving injections achieved dramatic pain relief within 2 days; follow-up radiographs revealed complete calcification disappearance within 16 weeks of treatment in all 5. No patient had experienced recurrence or complications at >2-year follow-up. Prompt diagnosis and early treatment with a local injection of a mixture of steroid and local anesthetic under C-arm control successfully relieved symptoms and facilitated a return to normality.
本文描述了在C型臂控制下局部注射类固醇和局部麻醉剂混合物治疗股直肌钙化性肌腱炎的情况。2004年3月至2005年5月，我院对6例股直肌钙化性肌腱炎患者进行了治疗，并随访至少2年。男女比例为1:5，患者平均年龄为41岁（范围33 - 49岁）。钙化位于1例患者的股直肌直接头，5例患者的股直肌反折头。1例患者接受了开放性手术切除，5例接受了局部类固醇和麻醉剂注射治疗。接受手术切除的患者术后立即疼痛缓解，但术后10天伤口区域仍有不适。接受注射的5例患者在2天内疼痛显著缓解；随访X线片显示，所有5例患者在治疗后16周内钙化完全消失。在2年以上的随访中，没有患者出现复发或并发症。在C型臂控制下及时诊断并早期局部注射类固醇和局部麻醉剂混合物成功缓解了症状，并促进了患者恢复正常。
