Arthrokatadysis from post-injection gluteal muscular fibrosis case report
Abstract Background Gluteal muscle contracture (GMC) is a clinical syndrome characterized by the contracture of gluteal muscles, iliotibial band (ITB), and related fascia. GMC is much more prevalent in China, which has been proven to be associated with repeated intramuscular injections into the butt...
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | http://link.springer.com/article/10.1186/s12891-020-03766-5 |
| _version_ | 1819159043800825856 |
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| author | Yunfeng Mi Biao Cheng |
| author_facet | Yunfeng Mi Biao Cheng |
| author_sort | Yunfeng Mi |
| collection | DOAJ |
| description | Abstract Background Gluteal muscle contracture (GMC) is a clinical syndrome characterized by the contracture of gluteal muscles, iliotibial band (ITB), and related fascia. GMC is much more prevalent in China, which has been proven to be associated with repeated intramuscular injections into the buttocks and the subsequent fibrosis and contracture.Generally, GMC is manifested mild. Here, we reported a severe case with arthrokatadysis. Case presentations A 25-year old man received multiple intramuscular injections of penicillin in the buttock when he was diagnosed with acute tonsillitis at 6 years old. Since then, he was injected penicillin regularly in local hospital because of the repeated acute tonsillitis until he was in high school. When the patient was found by the physical education teacher to be running in a state of external rotation of both feet, he was suggested to go to the hospital for treatment and was initially diagnosed to have GMC. He complained of occasional pain and limited range of motion in the hip joints. X-ray showed a typical arthrokatadysis. After arthroscopic release of GMC, the patient recovered well. Conclusions This is possibly the first reported case of arthrokatadysis that was caused by GMC after repeated intramuscular injections into the buttocks. Although the patient recovered well by arthroscopic surgical release of bilateral gluteus maximus contractures, GMC should be paid more attention and treated as early as possible. |
| first_indexed | 2024-12-22T16:34:17Z |
| format | Article |
| id | doaj.art-46e9da3c0eae4f4cacda4de5f437ade8 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-22T16:34:17Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-46e9da3c0eae4f4cacda4de5f437ade82022-12-21T18:19:59ZengBMCBMC Musculoskeletal Disorders1471-24742020-11-012111510.1186/s12891-020-03766-5Arthrokatadysis from post-injection gluteal muscular fibrosis case reportYunfeng Mi0Biao Cheng1Department of Orthopedics, Ningbo First Hospital, Affiliated Ningbo Hospital of Zhejiang UniversityDepartment of Orthopedics, School of Medicine, Shanghai Tenth People’s Hospital, Tongji University School of MedicineAbstract Background Gluteal muscle contracture (GMC) is a clinical syndrome characterized by the contracture of gluteal muscles, iliotibial band (ITB), and related fascia. GMC is much more prevalent in China, which has been proven to be associated with repeated intramuscular injections into the buttocks and the subsequent fibrosis and contracture.Generally, GMC is manifested mild. Here, we reported a severe case with arthrokatadysis. Case presentations A 25-year old man received multiple intramuscular injections of penicillin in the buttock when he was diagnosed with acute tonsillitis at 6 years old. Since then, he was injected penicillin regularly in local hospital because of the repeated acute tonsillitis until he was in high school. When the patient was found by the physical education teacher to be running in a state of external rotation of both feet, he was suggested to go to the hospital for treatment and was initially diagnosed to have GMC. He complained of occasional pain and limited range of motion in the hip joints. X-ray showed a typical arthrokatadysis. After arthroscopic release of GMC, the patient recovered well. Conclusions This is possibly the first reported case of arthrokatadysis that was caused by GMC after repeated intramuscular injections into the buttocks. Although the patient recovered well by arthroscopic surgical release of bilateral gluteus maximus contractures, GMC should be paid more attention and treated as early as possible.http://link.springer.com/article/10.1186/s12891-020-03766-5Gluteal muscle contracture (GMC)ArthrokatadysisArthroscopic surgeryCase report |
| spellingShingle | Yunfeng Mi Biao Cheng Arthrokatadysis from post-injection gluteal muscular fibrosis case report BMC Musculoskeletal Disorders Gluteal muscle contracture (GMC) Arthrokatadysis Arthroscopic surgery Case report |
| title | Arthrokatadysis from post-injection gluteal muscular fibrosis case report |
| title_full | Arthrokatadysis from post-injection gluteal muscular fibrosis case report |
| title_fullStr | Arthrokatadysis from post-injection gluteal muscular fibrosis case report |
| title_full_unstemmed | Arthrokatadysis from post-injection gluteal muscular fibrosis case report |
| title_short | Arthrokatadysis from post-injection gluteal muscular fibrosis case report |
| title_sort | arthrokatadysis from post injection gluteal muscular fibrosis case report |
| topic | Gluteal muscle contracture (GMC) Arthrokatadysis Arthroscopic surgery Case report |
| url | http://link.springer.com/article/10.1186/s12891-020-03766-5 |
| work_keys_str_mv | AT yunfengmi arthrokatadysisfrompostinjectionglutealmuscularfibrosiscasereport AT biaocheng arthrokatadysisfrompostinjectionglutealmuscularfibrosiscasereport |