Arthroscopic Treatment of Calcific Tendinitis of Gemellus Superior and Gemellus Inferior: A Case Report and Literature Review
Background Tendon calcification is a common disease, and it could happen in the tendons of the shoulder, wrist, etc. However, tendon calcification in the superior and inferior gemellus is rare, and in this region is likely to be misdiagnosed. Case Presentation Here, our case report first reported a...
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| Format: | Article |
| Language: | English |
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Wiley
2022-03-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13186 |
| _version_ | 1818287569210703872 |
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| author | Wen‐bo Yang Qian‐kun Xu Xing‐huang Liu Prapti Bakhshi Hong Wang Zeng‐wu Shao Chun‐qing Meng Wei Huang |
| author_facet | Wen‐bo Yang Qian‐kun Xu Xing‐huang Liu Prapti Bakhshi Hong Wang Zeng‐wu Shao Chun‐qing Meng Wei Huang |
| author_sort | Wen‐bo Yang |
| collection | DOAJ |
| description | Background Tendon calcification is a common disease, and it could happen in the tendons of the shoulder, wrist, etc. However, tendon calcification in the superior and inferior gemellus is rare, and in this region is likely to be misdiagnosed. Case Presentation Here, our case report first reported a 53‐year‐old female patient with an unusual case of calcific tendinitis of the gemellus superior and gemellus inferior muscles. The patient presented with severe pain in the right hip and lower extremities, not relieved using nonsteroidal anti‐inflammatory drugs (NSAIDs). The preoperative physical examination indicated an abnormality in the hip joint. Preoperative imaging confirmed the results of the physical examination and showed a right hip lesion. We did not make a definite diagnosis preoperatively but considered that the patient might have an osteochondroma. However, surgical findings indicated that the lesion was not in the hip capsule on subsequent arthroscopic surgery, which suggested that the preoperative diagnosis might be wrong. We opened the posterior capsule and found a “toothpaste‐like” lesion in the superior and inferior gemellus muscles' tendon. We thought this might be the calcified tendon. Then the arthroscopic surgery was finished to remove the lesion, and the removed tissue was sent to the pathology department for pathological examination. The pathological report confirmed the diagnosis of the calcified tendon. Postoperative follow‐up was conducted. The effect of the operation was noticeable. Postoperative symptoms were relieved. Conclusions Calcification of the tendons of the superior and inferior gemellus muscles can be easily misdiagnosed, and the disease can be treated minimally with arthroscopy. |
| first_indexed | 2024-12-13T01:42:34Z |
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| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-12-13T01:42:34Z |
| publishDate | 2022-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-f1a1ec9d3a8e4267a6750d1b26687dee2022-12-22T00:03:43ZengWileyOrthopaedic Surgery1757-78531757-78612022-03-0114362162710.1111/os.13186Arthroscopic Treatment of Calcific Tendinitis of Gemellus Superior and Gemellus Inferior: A Case Report and Literature ReviewWen‐bo Yang0Qian‐kun Xu1Xing‐huang Liu2Prapti Bakhshi3Hong Wang4Zeng‐wu Shao5Chun‐qing Meng6Wei Huang7Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Orthopaedic Surgery Central Hospital of Hefeng County Enshi ChinaDepartment of Orthopaedic Surgery, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Orthopaedic Surgery, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Orthopaedic Surgery, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Orthopaedic Surgery, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Orthopaedic Surgery, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Orthopaedic Surgery, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaBackground Tendon calcification is a common disease, and it could happen in the tendons of the shoulder, wrist, etc. However, tendon calcification in the superior and inferior gemellus is rare, and in this region is likely to be misdiagnosed. Case Presentation Here, our case report first reported a 53‐year‐old female patient with an unusual case of calcific tendinitis of the gemellus superior and gemellus inferior muscles. The patient presented with severe pain in the right hip and lower extremities, not relieved using nonsteroidal anti‐inflammatory drugs (NSAIDs). The preoperative physical examination indicated an abnormality in the hip joint. Preoperative imaging confirmed the results of the physical examination and showed a right hip lesion. We did not make a definite diagnosis preoperatively but considered that the patient might have an osteochondroma. However, surgical findings indicated that the lesion was not in the hip capsule on subsequent arthroscopic surgery, which suggested that the preoperative diagnosis might be wrong. We opened the posterior capsule and found a “toothpaste‐like” lesion in the superior and inferior gemellus muscles' tendon. We thought this might be the calcified tendon. Then the arthroscopic surgery was finished to remove the lesion, and the removed tissue was sent to the pathology department for pathological examination. The pathological report confirmed the diagnosis of the calcified tendon. Postoperative follow‐up was conducted. The effect of the operation was noticeable. Postoperative symptoms were relieved. Conclusions Calcification of the tendons of the superior and inferior gemellus muscles can be easily misdiagnosed, and the disease can be treated minimally with arthroscopy.https://doi.org/10.1111/os.13186Arthroscopic treatmentBenign lesionCalcific tendinitisGemellusHip pain |
| spellingShingle | Wen‐bo Yang Qian‐kun Xu Xing‐huang Liu Prapti Bakhshi Hong Wang Zeng‐wu Shao Chun‐qing Meng Wei Huang Arthroscopic Treatment of Calcific Tendinitis of Gemellus Superior and Gemellus Inferior: A Case Report and Literature Review Orthopaedic Surgery Arthroscopic treatment Benign lesion Calcific tendinitis Gemellus Hip pain |
| title | Arthroscopic Treatment of Calcific Tendinitis of Gemellus Superior and Gemellus Inferior: A Case Report and Literature Review |
| title_full | Arthroscopic Treatment of Calcific Tendinitis of Gemellus Superior and Gemellus Inferior: A Case Report and Literature Review |
| title_fullStr | Arthroscopic Treatment of Calcific Tendinitis of Gemellus Superior and Gemellus Inferior: A Case Report and Literature Review |
| title_full_unstemmed | Arthroscopic Treatment of Calcific Tendinitis of Gemellus Superior and Gemellus Inferior: A Case Report and Literature Review |
| title_short | Arthroscopic Treatment of Calcific Tendinitis of Gemellus Superior and Gemellus Inferior: A Case Report and Literature Review |
| title_sort | arthroscopic treatment of calcific tendinitis of gemellus superior and gemellus inferior a case report and literature review |
| topic | Arthroscopic treatment Benign lesion Calcific tendinitis Gemellus Hip pain |
| url | https://doi.org/10.1111/os.13186 |
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