Uncommon Presentation of Hip Pain Due to Calcific Tendonitis in the Rectus Femoris

Introduction: Calcific tendonitis is characterized by calcium hydroxyapatite crystal deposition in tendons, leading to inflammation and pain. While predominantly observed in the rotator cuff tendons of the shoulder, its occurrence in the rectus femoris tendon of the hip is exceedingly rare and poses...

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Main Authors: Rayavarapu Hari Krishna, Vijay Kumar Jain, Swaminathan Ramasubramanian, Naveen Jeyaraman, Madhan Jeyaraman
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-01-01
Series:Journal of Orthopaedic Case Reports
Subjects:
Online Access:https://jocr.co.in/wp/2025/01/01/uncommon-presentation-of-hip-pain-due-to-calcific-tendonitis-in-the-rectus-femoris/
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author Rayavarapu Hari Krishna
Vijay Kumar Jain
Swaminathan Ramasubramanian
Naveen Jeyaraman
Madhan Jeyaraman
author_facet Rayavarapu Hari Krishna
Vijay Kumar Jain
Swaminathan Ramasubramanian
Naveen Jeyaraman
Madhan Jeyaraman
author_sort Rayavarapu Hari Krishna
collection DOAJ
description Introduction: Calcific tendonitis is characterized by calcium hydroxyapatite crystal deposition in tendons, leading to inflammation and pain. While predominantly observed in the rotator cuff tendons of the shoulder, its occurrence in the rectus femoris tendon of the hip is exceedingly rare and poses a diagnostic challenge. Case Report: A 38-year-old female housewife presented with a 1-month history of left hip pain, which was dull, aching, and exacerbated by movements such as standing and walking. High-resolution computed tomography imaging showed calcification at the insertion of the left rectus femoris muscle. A magnetic resonance imaging confirmed the diagnosis, revealing no significant abnormalities in the hip joints or surrounding structures. The patient was diagnosed with calcific tendonitis at the insertion of the left rectus femoris muscle and was managed conservatively with rest, Non-steroidal anti-inflammatory drugs, and physical therapy. Follow-up visits were scheduled to monitor her progress and response to treatment. Conclusion: This case underscores the importance of thorough clinical and imaging evaluations in diagnosing calcific tendonitis in atypical locations. Conservative treatment proved effective, highlighting the need for tailored management strategies. Future research should focus on elucidating the pathogenesis and optimizing treatment for calcific tendonitis in uncommon sites.
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spelling doaj-art-f0e64b7d6efd41448fb19b3d9e99a2bd2025-08-20T02:36:42ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-01-0115116016510.13107/jocr.2025.v15.i01.5162Uncommon Presentation of Hip Pain Due to Calcific Tendonitis in the Rectus FemorisRayavarapu Hari KrishnaVijay Kumar JainSwaminathan RamasubramanianNaveen JeyaramanMadhan JeyaramanIntroduction: Calcific tendonitis is characterized by calcium hydroxyapatite crystal deposition in tendons, leading to inflammation and pain. While predominantly observed in the rotator cuff tendons of the shoulder, its occurrence in the rectus femoris tendon of the hip is exceedingly rare and poses a diagnostic challenge. Case Report: A 38-year-old female housewife presented with a 1-month history of left hip pain, which was dull, aching, and exacerbated by movements such as standing and walking. High-resolution computed tomography imaging showed calcification at the insertion of the left rectus femoris muscle. A magnetic resonance imaging confirmed the diagnosis, revealing no significant abnormalities in the hip joints or surrounding structures. The patient was diagnosed with calcific tendonitis at the insertion of the left rectus femoris muscle and was managed conservatively with rest, Non-steroidal anti-inflammatory drugs, and physical therapy. Follow-up visits were scheduled to monitor her progress and response to treatment. Conclusion: This case underscores the importance of thorough clinical and imaging evaluations in diagnosing calcific tendonitis in atypical locations. Conservative treatment proved effective, highlighting the need for tailored management strategies. Future research should focus on elucidating the pathogenesis and optimizing treatment for calcific tendonitis in uncommon sites.https://jocr.co.in/wp/2025/01/01/uncommon-presentation-of-hip-pain-due-to-calcific-tendonitis-in-the-rectus-femoris/calcific tendonitisrectus femoriship painconservative managementimagingcase report
spellingShingle Rayavarapu Hari Krishna
Vijay Kumar Jain
Swaminathan Ramasubramanian
Naveen Jeyaraman
Madhan Jeyaraman
Uncommon Presentation of Hip Pain Due to Calcific Tendonitis in the Rectus Femoris
Journal of Orthopaedic Case Reports
calcific tendonitis
rectus femoris
hip pain
conservative management
imaging
case report
title Uncommon Presentation of Hip Pain Due to Calcific Tendonitis in the Rectus Femoris
title_full Uncommon Presentation of Hip Pain Due to Calcific Tendonitis in the Rectus Femoris
title_fullStr Uncommon Presentation of Hip Pain Due to Calcific Tendonitis in the Rectus Femoris
title_full_unstemmed Uncommon Presentation of Hip Pain Due to Calcific Tendonitis in the Rectus Femoris
title_short Uncommon Presentation of Hip Pain Due to Calcific Tendonitis in the Rectus Femoris
title_sort uncommon presentation of hip pain due to calcific tendonitis in the rectus femoris
topic calcific tendonitis
rectus femoris
hip pain
conservative management
imaging
case report
url https://jocr.co.in/wp/2025/01/01/uncommon-presentation-of-hip-pain-due-to-calcific-tendonitis-in-the-rectus-femoris/
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AT vijaykumarjain uncommonpresentationofhippainduetocalcifictendonitisintherectusfemoris
AT swaminathanramasubramanian uncommonpresentationofhippainduetocalcifictendonitisintherectusfemoris
AT naveenjeyaraman uncommonpresentationofhippainduetocalcifictendonitisintherectusfemoris
AT madhanjeyaraman uncommonpresentationofhippainduetocalcifictendonitisintherectusfemoris