Traumatic isolated bilateral gluteus minimus injuries misdiagnosed as lumbar radiculopathy: A case report.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL World Journal of Clinical Cases Pub Date : 2024-12-06 DOI:10.12998/wjcc.v12.i34.6715
Hong-Man Cho, Haeryong Heo, Myung-Cheol Jung
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Abstract

Background: 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.

Case summary: 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.

Conclusion: When treating patients who complain of hip pain, it is important to consider various causes to make a correct diagnosis.

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外伤性孤立性双侧臀小肌损伤误诊为腰椎神经根病1例。
背景:臀中、小肌腱撕裂可引起慢性臀部疼痛,尤其是中年人;这些撕裂大多与肌肉和肌腱的退行性变化有关。慢性损伤比急性损伤更常见,臀中、小肌腱同时损伤而无慢性疼痛的情况很少见,尤其是臀小肌两侧的孤立损伤;这样的案例还没有报道过。病例总结:作者提出了一个病例的双侧急性创伤性损伤臀小肌在臀部加强锻炼在一个75岁的男性患者。患者在受伤8周后完全恢复了伤前的生活方式,没有任何限制,但由于误诊为腰椎神经根病,最初延误了诊断,给患者带来了不必要的社会经济负担。结论:对主诉髋关节疼痛的患者进行治疗时,应综合考虑各种病因,正确诊断。
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World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
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期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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