Al-Khudairi Rashed, Maris Alexandros, Khurram Ruhaid, Tsamados Stamatios, Farrant Joanna, Armstrong Thomas M
Royal Free Hospital NHS Trust, Pond St, London, NW3 2QG UK.
King's College Hospital, Denmark Hill, London, SE5 9RS UK.
Radiol Case Rep. 2023 Dec 22;19(3):1004-1007. doi: 10.1016/j.radcr.2023.12.008. eCollection 2024 Mar.
Calcific tendinopathy in the gluteus medius is uncommon and sporadically reported. It may be asymptomatic or present with acute or chronic pain. Pain is usually isolated to the lateral hip overlying the gluteal muscles or greater trochanter. We present a rare case of gluteus medius calcific tendonitis as a cause of severe anterior hip pain. Given the atypical local and clinical presentation these can be often misdiagnosed as septic arthritis or fracture which may lead to overtreatment and even unnecessary surgery. This article will detail the clinical presentation, imaging findings, and clinical course following treatment. This will facilitate the clinician in making a timely diagnosis and establishing an effective treatment course.
臀中肌钙化性肌腱病并不常见,仅有零星报道。它可能无症状,或表现为急性或慢性疼痛。疼痛通常局限于覆盖臀肌或大转子的髋关节外侧。我们报告一例罕见的臀中肌钙化性肌腱炎导致严重髋关节前部疼痛的病例。鉴于其不典型的局部表现和临床症状,常被误诊为化脓性关节炎或骨折,这可能导致过度治疗甚至不必要的手术。本文将详细介绍其临床表现、影像学检查结果以及治疗后的临床病程。这将有助于临床医生及时做出诊断并制定有效的治疗方案。