Cho Hong-Man, Heo Haeryong, Jung Myung-Cheol
Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju 62284, South Korea.
Department of Orthopedics, Gwangju Veterans Hospital, Gwangju 62284, South Korea.
World J Clin Cases. 2024 Dec 6;12(34):6715-6720. doi: 10.12998/wjcc.v12.i34.6715.
The tear of the gluteus medius and minimus tendons can cause chronic buttock pain, especially in middle-aged individuals; these tears occur mostly in association with degenerative changes in the muscles and tendons. Chronic injuries are more common than acute injuries, and concurrent injuries to the gluteus medius and minimus tendons without chronic pain are rare, especially isolated injuries to both sides of the gluteus minimus; such a case has not yet been reported.
The authors present a case of bilateral acute traumatic injuries to the gluteus minimus during buttock strengthening exercises in a 75-year-old male patient. The patient completely returned to his pre-injury lifestyle after 8 weeks of injury, with no limitations, but the diagnosis was initially delayed due to misdiagnosis as lumbar radiculopathy, resulting in unnecessary socio-economic burden on the patient.
When treating patients who complain of hip pain, it is important to consider various causes to make a correct diagnosis.
臀中肌和臀小肌腱撕裂可导致慢性臀部疼痛，尤其在中年人群中；这些撕裂大多与肌肉和肌腱的退行性改变有关。慢性损伤比急性损伤更常见，臀中肌和臀小肌腱同时受伤且无慢性疼痛的情况罕见，尤其是双侧臀小肌孤立损伤；此类病例尚未见报道。
作者报告一例75岁男性患者在臀部强化锻炼时双侧臀小肌急性创伤性损伤的病例。受伤8周后患者完全恢复到受伤前的生活方式，无任何限制，但最初因误诊为腰椎神经根病而延误诊断，给患者带来了不必要的社会经济负担。
治疗主诉髋部疼痛的患者时，考虑各种病因以做出正确诊断很重要。
