Calcium pyrophosphate dihydrate deposition in the trochanteric hip bursa presenting as acute hip pain.
Acute hip pain is a common reason for attendance to hospital. Immediate diagnoses include occult fractures, infectious and non-infectious inflammatory processes such as gout and pseudogout. Calcium pyrophosphate deposition disease (CPDD) is a rheumatological syndrome affecting articular cartilage and/or synovial fluid. It can occur as a clinical presentation (pseudogout) where calcium pyrophosphate dihydrate (CPPD) crystals are deposited within the joint space or radiographically, as chondrocalcinosis (CC), where CPPD crystals are deposited onto articular cartilages. Extraarticular manifestations of CPDD are rare. The authors report a case of CPPD deposition in the trochanteric bursa of a 35-year-old woman presenting as acute hip pain. The patient was treated successfully during arthroscopy with removal of the deposits and excision of the bursa. The patient remains well at 6 month follow-up.
Department of Orthopaedics, Russells Hall Hospital, West Midlands, UK. omersalar@doctors.org.uk
Omer
O
Salar
Fizza
F
Mushtaq
Mushtaq
M
Ahmed
D059787:Acute Pain / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D018771:Arthralgia / Q000175:diagnosis / Q000209:etiology*; D001182:Arthroscopy; D002061:Bursa, Synovial / Q000737:chemistry / Q000473:pathology*; D002131:Calcium Pyrophosphate / Q000378:metabolism; D002358:Cartilage, Articular / Q000737:chemistry / Q000473:pathology; D002805:Chondrocalcinosis / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006621:Hip Joint; D006801:Humans
D002131:Calcium Pyrophosphate