Abstract:
:This case report describes what the authors believe is the first case of a patient with obturator internus tendinitis and bursitis successfully treated with a corticosteroid injection using a trans-tendinous lateral to medial approach. The patient presented with right gluteal pain not relieved by physical therapy or right hip and ischial bursa corticosteroid injections. Pelvic and lumbar spine MRIs and EMG/NCS findings were unremarkable. Physical examination demonstrated tenderness to palpation at the right middle lower gluteal region. Ultrasound imaging with sonopalpation identified the maximal local tender point as the right obturator internus muscle and/or its underlying bursa. A 22-gauge 3.5-inch needle was inserted in-plane to the transducer and longitudinal to the obturator internus from a lateral to medial direction, an approach previously described in cadavers. The obturator internus tendon sheath and bursa were injected with 2.5 ml of 0.5% lidocaine combined with 10 mg of triamcinolone. The patient reported immediate complete relief of pain with continued relief at 2 and 6 months post-injection. This case report demonstrates an injection of the obturator internus tendon sheath and bursa using a trans-tendinous approach, which may be successful for treatment of patients presenting with persistent gluteal pain from obturator internus tendinitis and bursitis.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Chen B,Rispoli L,Stitik T,Leong Mdoi
10.1097/PHM.0000000000000702subject
Has Abstractpub_date
2017-10-01 00:00:00pages
e181-e184issue
10eissn
0894-9115issn
1537-7385journal_volume
96pub_type
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
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journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0b013e31824ad2fd
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journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:
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journal_title:American journal of physical medicine & rehabilitation
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更新日期:2012-01-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,多中心研究
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199302000-00013
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,meta分析,评审
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199210000-00011
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2020-01-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,评审
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journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,meta分析,评审
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更新日期:2017-10-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
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更新日期:1988-04-01 00:00:00
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更新日期:2004-10-01 00:00:00