Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report
Greater trochanteric pain syndrome may be caused by atypical femoral fractures, and this should be taken into consideration in the diagnostic workout. A 63-year-old woman was referred to our orthopedic outpatient hip clinic with a history of greater trochanteric pain syndrome without known trauma fo...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-04-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043321000455 |
| _version_ | 1819053818058375168 |
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| author | Lise Langeland Larsen, MD Jeppe Lange, MD, PhD |
| author_facet | Lise Langeland Larsen, MD Jeppe Lange, MD, PhD |
| author_sort | Lise Langeland Larsen, MD |
| collection | DOAJ |
| description | Greater trochanteric pain syndrome may be caused by atypical femoral fractures, and this should be taken into consideration in the diagnostic workout. A 63-year-old woman was referred to our orthopedic outpatient hip clinic with a history of greater trochanteric pain syndrome without known trauma for 1 year. Initially X-ray of the hip and magnetic resonance imaging were found without pathology, and she was given a diagnosis of gluteus medius tendinopathy. As physiotherapy and steroid injections did not resolve her pain, a second look on the magnetic resonance imaging and X-ray revealed a discrete atypical femoral fracture in the lateral cortex with the presence of an isolated Looser zone, which were attributed to her pain syndrome. Two years after onset of symptoms, and with no pain relief on medical treatment, she was treated with an intramedullary nail. One-year postoperative the patient was pain free. This case emphasizes the important utility of magnetic resonance imaging in refractory greater trochanteric pain syndrome. |
| first_indexed | 2024-12-21T12:41:46Z |
| format | Article |
| id | doaj.art-4246e2ac30af44a39e0de48e86320ffd |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-21T12:41:46Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-4246e2ac30af44a39e0de48e86320ffd2022-12-21T19:03:45ZengElsevierRadiology Case Reports1930-04332021-04-01164891894Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case reportLise Langeland Larsen, MD0Jeppe Lange, MD, PhD1Department of Orthopedic Surgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Aarhus 8200, DenmarkH-HiP, Department of Orthopedic Surgery, Regional Hospital Horsens, Sundvej 30, Horsens 8700, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; Corresponding author.Greater trochanteric pain syndrome may be caused by atypical femoral fractures, and this should be taken into consideration in the diagnostic workout. A 63-year-old woman was referred to our orthopedic outpatient hip clinic with a history of greater trochanteric pain syndrome without known trauma for 1 year. Initially X-ray of the hip and magnetic resonance imaging were found without pathology, and she was given a diagnosis of gluteus medius tendinopathy. As physiotherapy and steroid injections did not resolve her pain, a second look on the magnetic resonance imaging and X-ray revealed a discrete atypical femoral fracture in the lateral cortex with the presence of an isolated Looser zone, which were attributed to her pain syndrome. Two years after onset of symptoms, and with no pain relief on medical treatment, she was treated with an intramedullary nail. One-year postoperative the patient was pain free. This case emphasizes the important utility of magnetic resonance imaging in refractory greater trochanteric pain syndrome.http://www.sciencedirect.com/science/article/pii/S1930043321000455Atypical femoral fracturesGreater trochanteric pain syndromeLateral hip painMagnetic resonance imagingLooser zone |
| spellingShingle | Lise Langeland Larsen, MD Jeppe Lange, MD, PhD Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report Radiology Case Reports Atypical femoral fractures Greater trochanteric pain syndrome Lateral hip pain Magnetic resonance imaging Looser zone |
| title | Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report |
| title_full | Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report |
| title_fullStr | Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report |
| title_full_unstemmed | Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report |
| title_short | Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report |
| title_sort | atypical femoral fracture as the cause of greater trochanteric pain syndrome a case report |
| topic | Atypical femoral fractures Greater trochanteric pain syndrome Lateral hip pain Magnetic resonance imaging Looser zone |
| url | http://www.sciencedirect.com/science/article/pii/S1930043321000455 |
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