Case Report: Calcific Tendinitis of the Rectus Femoris

Pierannunzii, Luca; Tramontana, F.; Gallazzi, M.

doi:10.1007/s11999-009-1208-9

Cited by 33 publications

(21 citation statements)

References 10 publications

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“…8 The reflected head is more commonly affected by calcific tendinitis than the straight head. 6,18 Other conditions in the differential diagnosis of calcification in the region of the rectus femoris include avulsion fracture, os acetabula, sesamoid bones in the …”

Section: Discussionmentioning

confidence: 99%

Endoscopic Surgical Removal of Calcific Tendinitis of the Rectus Femoris: Surgical Technique

Piuzzi

Zanotti

Buttaro

et al. 2015

Arthroscopy Techniques

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Calcific tendinitis of the rectus femoris (CTRF) is an under-recognized condition and, because of its self-limiting nature, is usually managed conservatively. Nevertheless, when nonsurgical therapy fails, further invasive alternatives are required. At this point, arthroscopic resection provides a minimally invasive and interesting alternative to open surgery. The aim of this work is to report the surgical technique of endoscopic surgical removal in patients with CTRF at the periarticular region of the hip joint. Endoscopic surgical removal of CTRF was performed without traction following anatomic landmarks for hip arthroscopy portal placement. We used the anterolateral portal and the proximal accessory portal to obtain access to the lesion. A shaver and radiofrequency device are useful tools to depict the calcific lesion while the whole resection is performed with a 5-mm round burr. Intraoperative fluoroscopy control during the entire procedure is essential. Endoscopic treatment of calcific tendinitis of the hip is a valuable technique in the treatment of patients who do not respond to conservative treatment.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Surgical Removal of Calcific Tendinitis of the Rectus Femoris: Surgical Technique

Piuzzi

Zanotti

Buttaro

et al. 2015

Arthroscopy Techniques

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“…Symptoms can be quite severe and confused for labral tear or septic hip joint [19, 72, 73]. Pierannunzii et al described a single case of rectus femoris calcific tendinitis resulting in symptoms of a snapping hip [74]. The indirect head of the rectus femoris has been described to be involved up to 9 times more frequently than the direct head [19].…”

Section: Locationsmentioning

confidence: 99%

Calcium Apatite Deposition Disease: Diagnosis and Treatment

Beckmann

2016

Radiology Research and Practice

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Calcium apatite deposition disease (CADD) is a common entity characterized by deposition of calcium apatite crystals within and around connective tissues, usually in a periarticular location. CADD most frequently involves the rotator cuff. However, it can theoretically occur in almost any location in the musculoskeletal system, and many different locations of CADD have been described. When CADD presents in an unexpected location it can pose a diagnostic challenge, particularly when associated with pain or swelling, and can be confused with other pathologic processes, such as infection or malignancy. However, CADD has typical imaging characteristics that usually allows for a correct diagnosis to be made without additional imaging or laboratory workup, even when presenting in unusual locations. This is a review of the common and uncommon presentations of CADD in the appendicular and axial skeleton as well as an updated review of pathophysiology of CADD and current treatments.

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“…

A 43-yr-old woman presented with the insidious onset of left groin pain for several months. 3 The involvement of the indirect head was reported to be more common with painful limitation of range of motion caused by the overlap of insertion of the indirect head with capsular attachment 3,4 ; FIGURE 1 Longitudinal ultrasonographic images of the rectus femoris muscle using an 8-to 15-MHz linear array probe showing hyperechoic calcification in the direct head of the rectus femoris at the AIIS.FIGURE 2 Transverse image of the direct head of the rectus femoris muscle showing calcification with increased vascularity at the level of the AIIS.e10Am.

She also reported occasional Bclicking[ along the anterior aspect of the left hip associated with pain while extending the hip.…”

mentioning

confidence: 99%

“…3 The involvement of the indirect head was reported to be more common with painful limitation of range of motion caused by the overlap of insertion of the indirect head with capsular attachment 3,4 ; FIGURE 1 Longitudinal ultrasonographic images of the rectus femoris muscle using an 8-to 15-MHz linear array probe showing hyperechoic calcification in the direct head of the rectus femoris at the AIIS. 1,2 The audible or perceived snapping is mediated by either the direct head impinged against the overlying iliacus muscle or the indirect head of the rectus femoris surrounding the acetabular roof.…”

mentioning

confidence: 99%

Ultrasonography of Snapping Hip Syndrome

Azizi

Lee

Oh‐Park

2015

American Journal of Physical Medicine &Amp; Rehabilitation

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A 43-yr-old woman presented with the insidious onset of left groin pain for several months. She reported that her pain was sharp with an intensity of 5 of 10 and was primarily elicited during activities including squatting, prolonged sitting, and stair climbing. She also reported occasional Bclicking[ along the anterior aspect of the left hip associated with pain while extending the hip. Upon examination, passive range of motion of the hip was normal without gross swelling in the anterior hip region. Maximum tenderness was noted over the left anterior inferior iliac spine (AIIS) with appreciable snapping of a firm cord-like structure during extension and external rotation of the hip. The flexion, adduction, and internal rotation test was negative for femoroacetabular impingement. The Ely test (passive flexion of the knee in prone position and bringing the heel toward the buttock) was positive for tightness of the left rectus femoris muscle. A plain radiograph of the left hip was unremarkable except for calcification along the acetabular rim.Ultrasonography examination of the left hip was performed using an 8-to 15-MHz broadband linear transducer and a LOGIQ S8 scanner (General Electric Healthcare, Milwaukee, WI). A hyperechoic calcification, 1.3 Â 0.6 Â 0.9 cm in size, was appreciated in the direct head of the rectus femoris at the AIIS with increased vascularity on Doppler compatible with calcific tendinitis (Figs. 1, 2). There was no hip joint effusion or osteophyte and no other tendon pathologies noted. Her symptoms improved with nonsteroidal anti-inflammatory medications and stretching exercise, and there was no tenderness over the left AIIS at the 6-month follow-up.The authors were able to estimate the acuity of calcific rectus femoris tendinitis by additional Doppler examination and visualize the snapping structures by dynamic evaluation. 1,2 The audible or perceived snapping is mediated by either the direct head impinged against the overlying iliacus muscle or the indirect head of the rectus femoris surrounding the acetabular roof. 3 The involvement of the indirect head was reported to be more common with painful limitation of range of motion caused by the overlap of insertion of the indirect head with capsular attachment 3,4 ; FIGURE 1 Longitudinal ultrasonographic images of the rectus femoris muscle using an 8-to 15-MHz linear array probe showing hyperechoic calcification in the direct head of the rectus femoris at the AIIS.FIGURE 2 Transverse image of the direct head of the rectus femoris muscle showing calcification with increased vascularity at the level of the AIIS.e10Am.

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Case Report: Calcific Tendinitis of the Rectus Femoris

Cited by 33 publications

References 10 publications

Endoscopic Surgical Removal of Calcific Tendinitis of the Rectus Femoris: Surgical Technique

Endoscopic Surgical Removal of Calcific Tendinitis of the Rectus Femoris: Surgical Technique

Calcium Apatite Deposition Disease: Diagnosis and Treatment

Ultrasonography of Snapping Hip Syndrome

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