Abstract：
BACKGROUND: Calcific tendinitis is classically a painful condition that most commonly affects the rotator cuff, but may infrequently involve other tendons.
METHODS: We discuss a 57-year-old man who presented to the emergency department with a 4-day history of right hip pain, described as the \"worst pain in (his) life.\" The pain was first noticed at night and had progressively worsened. History, physical examination, and initial laboratory workup indicated an inflammatory vs. infectious process. Continued investigations with imaging techniques revealed the source of pain as calcific tendinitis involving the gluteus maximus tendon. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Symptoms of musculoskeletal pain in the emergency department are ubiquitous. In the proper clinical context, the diagnosis of calcific tendinitis, although uncommon, should be considered once emergent conditions are ruled out. Proper imaging techniques will facilitate accurate diagnosis, expedited pain management, and proper outpatient follow-up.
METHODS: We discuss a 57-year-old man who presented to the emergency department with a 4-day history of right hip pain, described as the \"worst pain in (his) life.\" The pain was first noticed at night and had progressively worsened. History, physical examination, and initial laboratory workup indicated an inflammatory vs. infectious process. Continued investigations with imaging techniques revealed the source of pain as calcific tendinitis involving the gluteus maximus tendon. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Symptoms of musculoskeletal pain in the emergency department are ubiquitous. In the proper clinical context, the diagnosis of calcific tendinitis, although uncommon, should be considered once emergent conditions are ruled out. Proper imaging techniques will facilitate accurate diagnosis, expedited pain management, and proper outpatient follow-up.
摘要：
背景：钙化性肌腱炎是一种最常影响肩袖的典型疼痛疾病，但可能很少涉及其他肌腱。
方法：我们讨论了一位57岁的男性，他在急诊科就诊，有4天的右髋部疼痛史，被描述为“他一生中最严重的痛苦”。“疼痛最初是在晚上注意到的，并逐渐恶化。历史,体检,最初的实验室检查表明炎症与感染过程。通过成像技术进行的持续调查显示，疼痛的根源是涉及臀大肌肌腱的钙化性肌腱炎。为什么急诊医生应该意识到这一点？：急诊科肌肉骨骼疼痛的症状无处不在。在适当的临床背景下，钙化性肌腱炎的诊断,虽然不常见,一旦紧急情况被排除，就应该考虑。正确的成像技术将有助于准确诊断，加速疼痛管理，和适当的门诊随访。
方法：我们讨论了一位57岁的男性，他在急诊科就诊，有4天的右髋部疼痛史，被描述为“他一生中最严重的痛苦”。“疼痛最初是在晚上注意到的，并逐渐恶化。历史,体检,最初的实验室检查表明炎症与感染过程。通过成像技术进行的持续调查显示，疼痛的根源是涉及臀大肌肌腱的钙化性肌腱炎。为什么急诊医生应该意识到这一点？：急诊科肌肉骨骼疼痛的症状无处不在。在适当的临床背景下，钙化性肌腱炎的诊断,虽然不常见,一旦紧急情况被排除，就应该考虑。正确的成像技术将有助于准确诊断，加速疼痛管理，和适当的门诊随访。
