钙化性转子滑囊炎的保守治疗。
Conservative treatment of calcific trochanteric bursitis.
作者信息
Gerber J M, Herrin S O
机构信息
Department of Clinics, Western States Chiropractic College, Portland, OR 97230.
出版信息
J Manipulative Physiol Ther. 1994 May;17(4):250-2.
OBJECTIVE
To present a case of conservatively managed calcific trochanteric bursitis and discuss differential diagnosis and treatment alternatives.
CLINICAL FEATURES
A 53-yr-old obese female presented with acute severe lateral hip and posterolateral thigh pain. Examination findings were consistent with trochanteric bursitis and radiographs demonstrated calcific infiltration of the trochanteric bursa.
INTERVENTION AND OUTCOME
An intensive 2-wk course of pulsed ultrasound, ice massage, interferential current and chiropractic lumbopelvic manipulation resulted in symptomatic relief, abolishment of palpatory tenderness and return of pain-free passive and resisted range of motion of the hip.
CONCLUSIONS
Trochanteric bursitis is a common cause of hip pain. A trial of conservative measures is warranted for this condition, even when calcinosis is present, before more invasive therapies are considered.
目的
介绍一例采用保守治疗的钙化性转子滑囊炎病例，并讨论鉴别诊断及其他治疗选择。
临床特征
一名53岁肥胖女性，出现急性严重的髋关节外侧及大腿后外侧疼痛。检查结果与转子滑囊炎相符，X线片显示转子滑囊有钙化浸润。
干预措施及结果
为期2周的强化治疗，包括脉冲超声、冰敷按摩、干扰电疗法及整脊腰骨盆手法治疗，症状得到缓解，触压痛消失，髋关节无痛被动及抗阻活动范围恢复。
结论
转子滑囊炎是髋关节疼痛的常见原因。对于这种情况，即使存在钙质沉着，在考虑更具侵入性的治疗之前，进行保守治疗的试验是必要的。
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