Iliopsoas bursitis and pseudogout of the knee mimicking L2-L3 radiculopathy: case report and review of the literature
| Autor: | A. T. Al-Khodairy, C. Gobelet, R. Nançoz, J. De Preux |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Bursitis Knee Joint Spinal stenosis Chondrocalcinosis Case Report Iliopsoas bursitis Injections Intra-Articular Diagnosis Differential Ilium Spinal Stenosis medicine Humans Orthopedics and Sports Medicine Radiculopathy Aged Psoas Muscles Lumbar Vertebrae medicine.diagnostic_test Groin business.industry Anti-Inflammatory Agents Non-Steroidal medicine.disease Magnetic Resonance Imaging Surgery Knee pain medicine.anatomical_structure Radicular pain Acute Disease Female Radiology medicine.symptom business Tomography X-Ray Computed Myelography Intervertebral Disc Displacement Follow-Up Studies |
| Zdroj: | European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 6(5) |
| ISSN: | 0940-6719 |
| Popis: | We report the case of a 74-year-old woman who presented with acute-onset right groin pain irradiating to the thigh anteriorly after having suffered for a few weeks from slight knee pain. As a CT scan showed multiple herniated intervertebral discs and spinal stenosis at the L3-L4 level, she was referred to a neurosurgical unit with the tentative diagnosis of L2-L3 radicular pain. Investigations (MR, myelography with CT scan) showed severe acquired lumbar canal stenosis. Decompression surgery was finally postponed because of the patient's serious cardiac medical history and she was referred to us for conservative treatment. She was found to have iliopsoas bursitis with chondrocalcinosis of the knee. Local steroid injections of the two sites abolished her symptoms. We draw attention to the possible pitfalls that the radiographic appearance and one of the multiple clinical presentations of this unrare pathology may represent. Whenever a patient comes walking with crutches, avoids putting weight on his or her leg, and radicular pain is suspected, we advise consideration of other extra-spinal causes for the pain. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink