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IMAGING FOR RESIDENTS - QUIZ
Year : 2019  |  Volume : 27  |  Issue : 1  |  Page : 58

An underdiagnosed etiology of lateral hip pain


Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch and National Taiwan University College of Medicine, Taipei, Taiwan

Date of Submission13-Aug-2018
Date of Acceptance31-Aug-2018
Date of Web Publication18-Mar-2019

Correspondence Address:
Dr. Ke-Vin Chang
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch and National Taiwan University College of Medicine, No. 87 Neijiang St, Wanhua District, Taipei City 108
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JMU.JMU_78_18

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How to cite this article:
Chang KV, Wu WT. An underdiagnosed etiology of lateral hip pain. J Med Ultrasound 2019;27:58

How to cite this URL:
Chang KV, Wu WT. An underdiagnosed etiology of lateral hip pain. J Med Ultrasound [serial online] 2019 [cited 2021 Apr 11];27:58. Available from: http://www.jmuonline.org/text.asp?2019/27/1/58/245030


  Section 1 – Quiz Top


Case

A 53-year-old male is a regular jogger who runs approximately 6 km per day. He had a gradual onset of the right lateral hip pain for 3 months. The pain made him stop jogging 1 month before visiting the clinic of physical medicine and rehabilitation. He received an ultrasound examination for both sides of the hips. A linear transducer was first placed in the horizontal plane on the lateral hip. The ultrasound images on the anterior [Figure 1]a and lateral [Figure 1]b aspects of the greater trochanter were shown. The transducer was later shifted to a curvilinear type and put along the coronal plane of the lateral hip on the painful [Figure 2]a and asymptomatic sides [Figure 2]b. The structure indicated by a white arrow appeared to be the lesion.
Figure 1: (a) We can clearly identify that the gluteus minimus tendon (white arrow head) on the anterior facet of the greater trochanter appears more hypoechoic and thickened than the anterior band of the gluteus medius tendon on the lateral facet. (b) The thickness and echogenicity of anterior and posterior bands of the gluteus medius tendon look similarly normal

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Figure 2: In the long-axis view (a), the gluteus minimus tendon (white arrow head) at the affected side appears more swollen than that of the contralateral side (black arrow head) (b)

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  What is Your Diagnosis? Top


Declaration of Patient Consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.


    Figures

  [Figure 1], [Figure 2]



 

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