The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Successful Treatment of Rectus Femoris Calcification with Ultrasound-guided Injection: A Case Report

  • Hong, Myong Joo (Department of Rheumatology, Presbyterian Medical Center) ;
  • Kim, Yeon Dong (Department of Anesthesiology and Pain Medicine, Wonkwang University Hospital, School of Medicine) ;
  • Park, Jeong Ki (Department of Anesthesiology and Pain Medicine, Wonkwang University Hospital, School of Medicine) ;
  • Kang, Tai Ug (Department of Anesthesiology and Pain Medicine, Na-eun Hospital)
  • Received : 2014.10.01
  • Accepted : 2014.11.24
  • Published : 2015.01.01
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Abstract

Painful periarticular calcification most commonly occurs within the rotator cuff of the shoulder and rarely around the elbow, hip, foot, and neck. As acute inflammatory reaction develops, severe pain, exquisite tenderness, local swelling, and limitation of motion with pain occur. In case of calcific tendinitis of the shoulder, it can be easily diagnosed according to the symptoms and with x-ray. However, in lesions of the hip, as it is a rare location and usually involves pain in the posterolateral aspect of the thigh, which can simulate radicular pain from a lumbar intervertebral disc, it could be difficult to diagnose. Hence, physicians usually focus on lumbar lesions; therefore, misdiagnosis is common and leads to a delayed management. Here, we report the case of a 30-year-old female patient with calcific tendinitis of the rectus femoris that was successfully managed with ultrasound-guided steroid injection. This study offers knowledge about the rectus femoris calcification.

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References

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