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KMID : 0948320040040010056
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Konyang Medical Journal
2004 Volume.4 No. 1 p.56 ~ p.60
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The Usefulness of Ultrasonographic Evaluation in Diagnosis and Treatment of Gluteal Bursitis
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Hong Jun-Hyoung
Bok Soo-Kyung
Oh Sang-Hyang
Yoon Jong-Myung
Hwang Cheol-Mog
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Abstract
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Gluteal bursitis is one of the most frequent causes of pseudoradiculopathy. Clinical symptom and physical examination is most important diagnostic criteria. And diagnostic injection of local anaesthesia on tender point and symptomatic improve is also crucial to diagnosis of gluteal bursitis. But Clinical diagnosis of gluteal bursitis may be subjective and injection is performed by blind technique. For that reason we studies the usefulness of the ultrasonography from a view point of objective diagnosis of the gluteal bursitis. 21 patients who had clinical diagnosis of gluteal bursitis were evaluated with ultrasound (HDI 5000 system). All patients were examined the bilateral gluteal area in prone position with 5~12 MHz linear probe and echogenecity, calcification, thickness of bursa, and compressibility with probe were evaluated. Normal gluteal bursa showed hypoechoic, linear shape between greater trochanter and gluteus maximus muscle in sagittal sonogram. Gluteal bursitis showed increased thickness compared to normal bursa and showed crescent shape that can be compressed by probe. In 21 patents, 8 patients showed normal finding and 13 patients showed gluteal bursitis (9 patients had ipsilateral lesion and 3 patients had bilateral lesion) with ultrasonography. The average thickness of normal gluteal bursa was 0.50.5 mm and gluteal bursitis was 1.8 0.4 mm. And there was no statical significance between two groups. So the usefulness of ultrasonography on diagnosis of gluteal bursitis is just limited at additional methode to clinical diagnosis and to performing the local injection.
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KEYWORD
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Gluteal bursitis, Musculoskeletal, Ultrasonography
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