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Varied presentation of similar entity in two different temporal settings.
Case Report | Volume 4 | Issue 4 | JOCR Oct-Dec 2014 | Page 48-50 | Almedghio S, Garneti N. DOI: 10.13107/jocr.2250-0685.225
Authors: Almedghio S [1], Garneti N [2]
[1] Department of Trauma & Orthopaedic, University Hospital of South Manchester NHS Foundation Trust, Manchester, M23 9LT, United Kingdom.
Address of Correspondence:
Dr. Sami Almedghio, Orthopaedic Department, University Hospital of South Manchester NHS Foundation Trust, Wythenshawe Hospital, Southmoore Road, Manchester – M23 9LT, United Kingdom. Email: salmedghio@yahoo.com
Abstract
Introduction: The calcific tendinitis is a common to happen around the shoulder, calcific tendinitis of tendons adjacent to the hip is not common like the shoulder. It can present either as acute hip pain and limitation of movement or chronic hip pain. We present two patients one with acute presentation and the other one chronic.
Case Report: We present a case series of two patients with calcific tendinitis of the gluteus medius muscle. One patient a 37-year-old male presented with acute severe hip pain associated with a raised temperature, prompting concern about septic arthritis. The second patient presented with chronic hip pain. Calcification of the soft tissues adjacent to the greater trochanter was evident on plain radiographs in both patients. CT and MRI scans excluded septic or inflammatory arthritis in the patient with an acute presentation, the patient’s condition settled with analgesia and NSAIDs.
Conclusion: An unusual combination of symptoms and finding mimicking septic arthritis should be considered in patients presenting with acute calcific tendinitis of the hip gluteus medius muscle.
Keywords: Calcific tendinitis. Gluteus medius. Septic arthritis.
How to Cite This Article: Almedghio S, Garneti N. The Acute and Chronic Presentation of Gluteus Medius Calcific Tendinitis- A Case Report of Two. Journal of Orthopaedic Case Reports 2014 Oct-Dec;4(4): 48-50. Available from: https://www.jocr.co.in/wp/2014/10/14/2250-0685-225-fulltext/ |
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