Degenerative Osteoarthritis of the Hip Misconceived as a Failed Back Surgery Syndrome: A case report.
10.4097/kjae.2008.54.5.589
- Author:
Sang Soo KANG
1
;
Keun Man SHIN
;
Sung Keun NAM
;
Hyun Cheul KIM
;
Il Seok KIM
;
Seong Jun HONG
Author Information
1. Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. kmshin1@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
calcification;
failded back surgery syndrome;
osteophytes;
pelvis
- MeSH:
Acetabulum;
Adrenal Cortex Hormones;
Anesthetics, Local;
Buttocks;
Failed Back Surgery Syndrome;
Groin;
Hip;
Humans;
Joints;
Lip;
Magnetic Resonance Imaging;
Osteoarthritis;
Osteophyte;
Pelvis;
Physical Examination;
Recurrence;
Thigh
- From:Korean Journal of Anesthesiology
2008;54(5):589-592
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report the treatment experience of a patient who developed pain in the right anterior thigh and buttock 3 months later after lumbar disc surgery. He was treated as failed back surgery syndrome and had no symptom improvement. On physical examination, groin pain was elicited by Patrick's test and internal rotation of the hip. Plain radiographs of the pelvis showed calcification or osteophytes near the superior lip of the acetabulum. On magnetic resonance imaging, the lesion was identified as osteophytes and joint effusion was also noted. Under C-arm guidance, we injected corticosteroids and local anesthetics, and the patient obtained dramatic pain relief and no recurrence of symptoms.
