Abstract
We describe a 78-year-old daily hiker woman with no previous significant clinical records presented with a history of acute hip pain, limping, with no previous trauma. Clinical examination showed inability to extend lower left limb, intense pain at hip mobilization with intense limitation of hip range of motion. X-Ray showed severe coxofemoral osteoarthritis with typical CPPD calcification (Figure 1B) and radiocarpal joint calcification (Figure 1C), Ultrasonography revealed both a large hypo-echoic image located before coxofemoral joint and moderate joint synovial hypertrophy (Figure 1A).
Highlights
With respect to the article “An Unusual Association: Iliopsoas Bursitis Related to Calcium Pyrophosphate Crystal Arthritis” published in Case Reports in Rheumatology by Di Carlo, et al [1] describing the unusual association of iliopsoas bursitis and calcium pyrophosphate crystal (CPPD) arthritis as first clinical manifestation of chondrocalcinosis, we would present a similar case in order to increase the awareness of this potential manifestation of chondrocalcinosis
We describe a 78-year-old daily hiker woman with no previous significant clinical records presented with a history of acute hip pain, limping, with no previous trauma
X-Ray showed severe coxofemoral osteoarthritis with typical CPPD calcification (Figure 1B) and radiocarpal joint calcification (Figure 1C), Ultrasonography revealed both a large hypo-echoic image located before coxofemoral joint and moderate joint synovial hypertrophy (Figure 1A); Magnetic Resonance Imaging confirmed the presence of severe iliopsoas bursitis, severe coxofemoral osteoarthritis with mild joint effusion (Figure 1D and Figure 1E)
Summary
With respect to the article “An Unusual Association: Iliopsoas Bursitis Related to Calcium Pyrophosphate Crystal Arthritis” published in Case Reports in Rheumatology by Di Carlo, et al [1] describing the unusual association of iliopsoas bursitis and calcium pyrophosphate crystal (CPPD) arthritis as first clinical manifestation of chondrocalcinosis, we would present a similar case in order to increase the awareness of this potential manifestation of chondrocalcinosis
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