Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report

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Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report. / Larsen, Lise Langeland; Lange, Jeppe.

I: Radiology Case Reports, Bind 16, Nr. 4, 04.2021, s. 891-894.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{b2386fbbc7034c42a0cbf1c0918a68e9,
title = "Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report",
abstract = "Greater trochanteric pain syndrome may be caused by atypical femoral fractures, and this should be taken into consideration in the diagnostic workout. A 63-year-old woman was referred to our orthopedic outpatient hip clinic with a history of greater trochanteric pain syndrome without known trauma for 1 year. Initially X-ray of the hip and magnetic resonance imaging were found without pathology, and she was given a diagnosis of gluteus medius tendinopathy. As physiotherapy and steroid injections did not resolve her pain, a second look on the magnetic resonance imaging and X-ray revealed a discrete atypical femoral fracture in the lateral cortex with the presence of an isolated Looser zone, which were attributed to her pain syndrome. Two years after onset of symptoms, and with no pain relief on medical treatment, she was treated with an intramedullary nail. One-year postoperative the patient was pain free. This case emphasizes the important utility of magnetic resonance imaging in refractory greater trochanteric pain syndrome.",
keywords = "Atypical femoral fractures, Greater trochanteric pain syndrome, Lateral hip pain, Looser zone, Magnetic resonance imaging",
author = "Larsen, {Lise Langeland} and Jeppe Lange",
note = "Publisher Copyright: {\textcopyright} 2021 Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2021",
month = apr,
doi = "10.1016/j.radcr.2021.01.044",
language = "English",
volume = "16",
pages = "891--894",
journal = "Radiology Case Reports",
number = "4",

}

RIS

TY - JOUR

T1 - Atypical femoral fracture as the cause of greater trochanteric pain syndrome – a case report

AU - Larsen, Lise Langeland

AU - Lange, Jeppe

N1 - Publisher Copyright: © 2021 Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/4

Y1 - 2021/4

N2 - Greater trochanteric pain syndrome may be caused by atypical femoral fractures, and this should be taken into consideration in the diagnostic workout. A 63-year-old woman was referred to our orthopedic outpatient hip clinic with a history of greater trochanteric pain syndrome without known trauma for 1 year. Initially X-ray of the hip and magnetic resonance imaging were found without pathology, and she was given a diagnosis of gluteus medius tendinopathy. As physiotherapy and steroid injections did not resolve her pain, a second look on the magnetic resonance imaging and X-ray revealed a discrete atypical femoral fracture in the lateral cortex with the presence of an isolated Looser zone, which were attributed to her pain syndrome. Two years after onset of symptoms, and with no pain relief on medical treatment, she was treated with an intramedullary nail. One-year postoperative the patient was pain free. This case emphasizes the important utility of magnetic resonance imaging in refractory greater trochanteric pain syndrome.

AB - Greater trochanteric pain syndrome may be caused by atypical femoral fractures, and this should be taken into consideration in the diagnostic workout. A 63-year-old woman was referred to our orthopedic outpatient hip clinic with a history of greater trochanteric pain syndrome without known trauma for 1 year. Initially X-ray of the hip and magnetic resonance imaging were found without pathology, and she was given a diagnosis of gluteus medius tendinopathy. As physiotherapy and steroid injections did not resolve her pain, a second look on the magnetic resonance imaging and X-ray revealed a discrete atypical femoral fracture in the lateral cortex with the presence of an isolated Looser zone, which were attributed to her pain syndrome. Two years after onset of symptoms, and with no pain relief on medical treatment, she was treated with an intramedullary nail. One-year postoperative the patient was pain free. This case emphasizes the important utility of magnetic resonance imaging in refractory greater trochanteric pain syndrome.

KW - Atypical femoral fractures

KW - Greater trochanteric pain syndrome

KW - Lateral hip pain

KW - Looser zone

KW - Magnetic resonance imaging

UR - http://www.scopus.com/inward/record.url?scp=85100261429&partnerID=8YFLogxK

U2 - 10.1016/j.radcr.2021.01.044

DO - 10.1016/j.radcr.2021.01.044

M3 - Journal article

C2 - 33598061

AN - SCOPUS:85100261429

VL - 16

SP - 891

EP - 894

JO - Radiology Case Reports

JF - Radiology Case Reports

IS - 4

ER -