Ultrasound-guided Percutaneous Barbotage Of Gluteus Maximus Calcific Tendinosis In A Cyclist

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Ultrasound-guided Percutaneous Barbotage Of Gluteus Maximus Calcific Tendinosis In A Cyclist - Page #1

Author: Brennan Boettcher, DO Co Author #1: Kentaro Onishi, D.O. Co Author #2: Stephen J. Wisniewski, M.D. Co Author #3: Jacob L. Sellon, M.D. Patient Presentation: 55-year-old avid cyclist presents with a 5-year history of left posterolateral hip pain. History: The pain occurred suddenly while cycling about 5 years ago. Since the initial incident, the pain gradually progressed and became provoked with side-lying, moving from seated to standing, and walking. The patient had numerous prior evaluations without a definitive diagnosis. Icing, massage, and anti-inflammatory pain medications provided limited benefit. Physical Exam: General: Fit-appearing male. Gait: Nonantalgic. Pain reproduced with single leg squatting. Skin: No skin discoloration or lesion in the region of pain. Musculoskeletal: Left hip exquisitely tender in a focal area of the posterior proximal thigh. No trochanteric or ischial tuberosity tenderness. Hip internal/external rotation was full and non-painful. Log roll, FABER, Stinchfield, and Scour tests were all negative. Neurological: Reflexes, strength testing, and light touch sensation were normal in the left lower limb. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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