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Published in: Clinical Orthopaedics and Related Research® 9/2008

01-09-2008 | Orthopaedic • Radiology • Pathology Conference

Thigh Pain of 5 Years’ Duration in a 48-year-old Man

Authors: Shafic A. Sraj, MD, Nabil J. Khoury, MD, Nadim E. Afeiche, MD, John Abdelnoor, MD, FRCS

Published in: Clinical Orthopaedics and Related Research® | Issue 9/2008

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Excerpt

A 48-year-old man presented to his primary physician with pain localized to the medial region of the left knee of 6 months’ duration. The physical examination was normal. His medical history was unremarkable. He was treated empirically with nonsteroidal antiinflammatory medications and physiotherapy without relief. After 3 months of continuing pain, he was referred to an orthopaedic surgeon who ordered an MRI scan which was interpreted as normal. The patient was maintained on symptomatic treatment for several more months with no substantial improvement. The patient continued to endure the pain and utilise symptomatic treatment for the following couple of years. Three years after initial presentation, he obtained a second orthopaedic opinion and had another MRI scan. The examination was again normal and the MRI interpreted as normal. The patient was maintained on symptomatic treatment with no improvement. Throughout he had no constitutional symptoms. …
Literature
1.
go back to reference Amillo S, Arriola FJ, Munoz G. Extradigital glomus tumour causing thigh pain: a case report. J Bone Joint Surg Br. 1997;79:104–106.PubMedCrossRef Amillo S, Arriola FJ, Munoz G. Extradigital glomus tumour causing thigh pain: a case report. J Bone Joint Surg Br. 1997;79:104–106.PubMedCrossRef
2.
go back to reference Anthony DC, Frosch MP, De Girolami U. Peripheral nerve and skeletal muscle. In: Kumar V, Abbas AK, Fausto N, eds. Robbins and Cotran Pathologic Basis of Disease. Vol 2. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005:1325–1347. Anthony DC, Frosch MP, De Girolami U. Peripheral nerve and skeletal muscle. In: Kumar V, Abbas AK, Fausto N, eds. Robbins and Cotran Pathologic Basis of Disease. Vol 2. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005:1325–1347.
3.
go back to reference Axmann C, Feiden W, Moeller V, Reith W. Paravertebral glomus tumors. Skeletal Radiol. 2005;34:112–115.PubMedCrossRef Axmann C, Feiden W, Moeller V, Reith W. Paravertebral glomus tumors. Skeletal Radiol. 2005;34:112–115.PubMedCrossRef
4.
go back to reference Caughey DE, Highton TC. Glomus tumor of the knee: report of a case. J Bone Joint Surg Br. 1966;48:134–137.PubMed Caughey DE, Highton TC. Glomus tumor of the knee: report of a case. J Bone Joint Surg Br. 1966;48:134–137.PubMed
5.
go back to reference Chatterjee JS, Youssef AH, Brown RM, Nishikawa H. Congenital nodular multiple glomangioma: a case report. J Clin Pathol. 2005;58:102–103.PubMedCrossRef Chatterjee JS, Youssef AH, Brown RM, Nishikawa H. Congenital nodular multiple glomangioma: a case report. J Clin Pathol. 2005;58:102–103.PubMedCrossRef
6.
go back to reference Dahlin LB, Besjakov J, Veress B. A glomus tumour: classic signs without magnetic resonance imaging finding. Scand J Plast Reconstr Surg Hand Surg. 2005;39:123–125.PubMedCrossRef Dahlin LB, Besjakov J, Veress B. A glomus tumour: classic signs without magnetic resonance imaging finding. Scand J Plast Reconstr Surg Hand Surg. 2005;39:123–125.PubMedCrossRef
7.
go back to reference Duncan L, Halverson J, DeSchryver-Kecskemeti K. Glomus tumor of the coccyx: a curable cause of coccygodynia. Arch Pathol Lab Med. 1991;115:78–80.PubMed Duncan L, Halverson J, DeSchryver-Kecskemeti K. Glomus tumor of the coccyx: a curable cause of coccygodynia. Arch Pathol Lab Med. 1991;115:78–80.PubMed
8.
go back to reference Fitzpatrick TB, Johnson RA, Wolff K, Suurmond D. Benign neoplasia and hyperplasias. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology: Common and Serious. 4th ed. Maidenhead, UK: McGraw-Hill; 2001:204. Fitzpatrick TB, Johnson RA, Wolff K, Suurmond D. Benign neoplasia and hyperplasias. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology: Common and Serious. 4th ed. Maidenhead, UK: McGraw-Hill; 2001:204.
9.
go back to reference Fitzpatrick TB, Johnson RA, Wolff K, Suurmond D. Cutaneous lymphomas and sarcoma. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology: Common and Serious. 4th ed. Maidenhead, UK: McGraw-Hill; 2001:545. Fitzpatrick TB, Johnson RA, Wolff K, Suurmond D. Cutaneous lymphomas and sarcoma. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology: Common and Serious. 4th ed. Maidenhead, UK: McGraw-Hill; 2001:545.
10.
go back to reference Fitzpatrick TB, Johnson RA, Wolff K, Suurmond D. Disorders of blood vessels. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology: Common and Serious. 4th ed. Maidenhead, UK: McGraw-Hill; 2001:179. Fitzpatrick TB, Johnson RA, Wolff K, Suurmond D. Disorders of blood vessels. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology: Common and Serious. 4th ed. Maidenhead, UK: McGraw-Hill; 2001:179.
11.
go back to reference Folpe AL, Fanburg-Smith JC, Miettinen M, Weiss SW. Atypical and malignant glomus tumors: analysis of 52 cases, with a proposal for the reclassification of glomus tumors. Am J Surg Pathol. 2001;25:1–12.PubMedCrossRef Folpe AL, Fanburg-Smith JC, Miettinen M, Weiss SW. Atypical and malignant glomus tumors: analysis of 52 cases, with a proposal for the reclassification of glomus tumors. Am J Surg Pathol. 2001;25:1–12.PubMedCrossRef
12.
go back to reference Frosch MP, Anthony DC, De Girolami U. The central nervous system. In: Kumar V, Abbas AK, Fausto N eds. Robbins and Cotran Pathologic Basis of Disease. Vol 2. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005:1411–1412. Frosch MP, Anthony DC, De Girolami U. The central nervous system. In: Kumar V, Abbas AK, Fausto N eds. Robbins and Cotran Pathologic Basis of Disease. Vol 2. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005:1411–1412.
13.
go back to reference Garrell RH, Oates E. Glomus tumor of the thigh. AJR Am J Roentgenol. 1990;155:423.PubMed Garrell RH, Oates E. Glomus tumor of the thigh. AJR Am J Roentgenol. 1990;155:423.PubMed
14.
go back to reference Ghaly RF, Ring AM. Supraclavicular glomus tumor, 20 year history of undiagnosed shoulder pain: a case report. Pain. 1999;83:379–382.PubMedCrossRef Ghaly RF, Ring AM. Supraclavicular glomus tumor, 20 year history of undiagnosed shoulder pain: a case report. Pain. 1999;83:379–382.PubMedCrossRef
15.
go back to reference Hartenbaum NP, Brock A. Glomus tumor: an unusual cause for return to work delay after back injury. J Occup Environ Med. 2000;42:2–3.PubMed Hartenbaum NP, Brock A. Glomus tumor: an unusual cause for return to work delay after back injury. J Occup Environ Med. 2000;42:2–3.PubMed
16.
go back to reference Heje M, Bang C, Jensen SS. Glomus tumours causing limb hypoplasia? J Bone Joint Surg Br. 1992;74:779–780.PubMed Heje M, Bang C, Jensen SS. Glomus tumours causing limb hypoplasia? J Bone Joint Surg Br. 1992;74:779–780.PubMed
17.
go back to reference Heys SD, Briltenden J, Atkinson P, Eremin O. Glomus tumour: an analysis of 43 patients and review of the literature. Br J Surg. 1992;79:345–347.PubMedCrossRef Heys SD, Briltenden J, Atkinson P, Eremin O. Glomus tumour: an analysis of 43 patients and review of the literature. Br J Surg. 1992;79:345–347.PubMedCrossRef
18.
go back to reference Mabit C, Pecout C, Arnaud JP. Glomus tumor of the patellar ligament: a case report. J Bone Joint Surg Am. 1995;77:140–141.PubMed Mabit C, Pecout C, Arnaud JP. Glomus tumor of the patellar ligament: a case report. J Bone Joint Surg Am. 1995;77:140–141.PubMed
19.
go back to reference Malachy S. Glomus-cell tumors in the lower extremity: report of two cases. J Bone Joint Surg Am. 1971;53:157–159. Malachy S. Glomus-cell tumors in the lower extremity: report of two cases. J Bone Joint Surg Am. 1971;53:157–159.
21.
go back to reference Miyano JA, Fitzgibbons TC. Glomangioma of the ankle simulating injury to the flexor hallucis longus: a case report. Foot Ankle Int. 1996;17:768–770.PubMed Miyano JA, Fitzgibbons TC. Glomangioma of the ankle simulating injury to the flexor hallucis longus: a case report. Foot Ankle Int. 1996;17:768–770.PubMed
22.
go back to reference Mohler DG, Lim CK, Martin B. Glomus tumor of the plantar arch: a case report with magnetic resonance imaging findings. Foot Ankle Int. 1997;18:672–674.PubMed Mohler DG, Lim CK, Martin B. Glomus tumor of the plantar arch: a case report with magnetic resonance imaging findings. Foot Ankle Int. 1997;18:672–674.PubMed
23.
go back to reference Muller A. [Extra-digital glomus tumor: a rare cause of neuralgia] [in French]. Ann Fr Anesth Reanim. 1997;16:61–63.PubMed Muller A. [Extra-digital glomus tumor: a rare cause of neuralgia] [in French]. Ann Fr Anesth Reanim. 1997;16:61–63.PubMed
24.
go back to reference Murphy GF, Sellheyer K, Mihm MCJ. The skin. In: Kumar V, Abbas AK, Fausto N eds. Robbins and Cotran Pathologic Basis of Disease. Vol 2. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005:1247–1248. Murphy GF, Sellheyer K, Mihm MCJ. The skin. In: Kumar V, Abbas AK, Fausto N eds. Robbins and Cotran Pathologic Basis of Disease. Vol 2. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005:1247–1248.
25.
go back to reference Murphy RX, Rachman RA. Extradigital glomus tumor as a cause of knee pain. Plast Reconstr Surg. 1993;92:1371–1374.PubMed Murphy RX, Rachman RA. Extradigital glomus tumor as a cause of knee pain. Plast Reconstr Surg. 1993;92:1371–1374.PubMed
26.
go back to reference Nebreda CL, Urban BJ, Taylor AE. Upper extremity pain of 10 years duration caused by a glomus tumor. Reg Anesth Pain Med. 2000;25:69–71.PubMedCrossRef Nebreda CL, Urban BJ, Taylor AE. Upper extremity pain of 10 years duration caused by a glomus tumor. Reg Anesth Pain Med. 2000;25:69–71.PubMedCrossRef
27.
go back to reference Negri G, Schulte M, Mohr W. Glomus tumor with diffuse infiltration of the quadriceps muscle: a case report. Hum Pathol. 1997;28:750–752.PubMedCrossRef Negri G, Schulte M, Mohr W. Glomus tumor with diffuse infiltration of the quadriceps muscle: a case report. Hum Pathol. 1997;28:750–752.PubMedCrossRef
28.
go back to reference Okahashi K, Sugimoto K, Iwai M, Kaneko K, Samma M, Fujisawa Y, Takakura Y. Glomus tumor of the lateral aspect of the knee joint. Arch Orthop Trauma Surg. 2004;124:636–638.PubMedCrossRef Okahashi K, Sugimoto K, Iwai M, Kaneko K, Samma M, Fujisawa Y, Takakura Y. Glomus tumor of the lateral aspect of the knee joint. Arch Orthop Trauma Surg. 2004;124:636–638.PubMedCrossRef
29.
go back to reference Oztekin HH. Popliteal glomangioma mimicking baker’s cyst in a 9-year-old child: an unusual location of a glomus tumor. Arthroscopy. 2003;19:E19–E23.PubMedCrossRef Oztekin HH. Popliteal glomangioma mimicking baker’s cyst in a 9-year-old child: an unusual location of a glomus tumor. Arthroscopy. 2003;19:E19–E23.PubMedCrossRef
30.
go back to reference Quigley JT. A glomus tumor of the heel pad: a case report. J Bone Joint Surg Am. 1979;61:443–444.PubMed Quigley JT. A glomus tumor of the heel pad: a case report. J Bone Joint Surg Am. 1979;61:443–444.PubMed
31.
go back to reference Robinson JC, Kilpatrick SE, Kelly DL. Intraosseous glomus tumor of the spine: case report and review of the literature. J Neurosurg. 1996;85:344–347.PubMed Robinson JC, Kilpatrick SE, Kelly DL. Intraosseous glomus tumor of the spine: case report and review of the literature. J Neurosurg. 1996;85:344–347.PubMed
32.
go back to reference Rosenberg AE. Bones, joints, soft tissue tumors. In: Kumar V, Abbas AK, Fausto N eds. Robbins and Cotran Pathologic Basis of Disease. Vol 2. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005:1311–1314. Rosenberg AE. Bones, joints, soft tissue tumors. In: Kumar V, Abbas AK, Fausto N eds. Robbins and Cotran Pathologic Basis of Disease. Vol 2. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005:1311–1314.
33.
go back to reference Schiefer TK, Parker WL, Anakwenze OA, Amadio PC, Inwards CY, Spinner RJ. Extradigital glomus tumors: a 20-year experience. Mayo Clin Proc. 2006;81:1337–1344.PubMed Schiefer TK, Parker WL, Anakwenze OA, Amadio PC, Inwards CY, Spinner RJ. Extradigital glomus tumors: a 20-year experience. Mayo Clin Proc. 2006;81:1337–1344.PubMed
34.
go back to reference Shoen FJ. Blood vessels. In: Kumar V, Abbas AK, Fausto N eds. Robbins, Cotran Pathologic Basis of Disease. Vol 2. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005:545–548. Shoen FJ. Blood vessels. In: Kumar V, Abbas AK, Fausto N eds. Robbins, Cotran Pathologic Basis of Disease. Vol 2. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005:545–548.
35.
go back to reference Tomak Y, Akcay I, Dabak N, Eroglu L. Subungual glomus tumours of the hand: diagnosis and treatment of 14 cases. Scand J Plast Reconstr Surg Hand Surg. 2003;37:121–124.PubMedCrossRef Tomak Y, Akcay I, Dabak N, Eroglu L. Subungual glomus tumours of the hand: diagnosis and treatment of 14 cases. Scand J Plast Reconstr Surg Hand Surg. 2003;37:121–124.PubMedCrossRef
36.
go back to reference Yelin FS, Fountain EM. Glomus tumor simulating nerve root compression and Raynaud’s phenomenon. J Neurosurg. 1968;29:645–647.PubMedCrossRef Yelin FS, Fountain EM. Glomus tumor simulating nerve root compression and Raynaud’s phenomenon. J Neurosurg. 1968;29:645–647.PubMedCrossRef
37.
go back to reference Yoshikawa G, Murakami M, Ishizawa M, Matsumoto K, Hukuda S. Glomus tumor of the musculotendinous junction of the rotator cuff: a case report. Clin Orthop Relat Res. 1996:250–253. Yoshikawa G, Murakami M, Ishizawa M, Matsumoto K, Hukuda S. Glomus tumor of the musculotendinous junction of the rotator cuff: a case report. Clin Orthop Relat Res. 1996:250–253.
38.
go back to reference Zapotoczny S, Marniok B, Gradzik R, Arendt J, Zajecki W. [Glomus tumor of the thumb] [in Polish]. Wiad Lek. 2004;57:97–99.PubMed Zapotoczny S, Marniok B, Gradzik R, Arendt J, Zajecki W. [Glomus tumor of the thumb] [in Polish]. Wiad Lek. 2004;57:97–99.PubMed
Metadata
Title
Thigh Pain of 5 Years’ Duration in a 48-year-old Man
Authors
Shafic A. Sraj, MD
Nabil J. Khoury, MD
Nadim E. Afeiche, MD
John Abdelnoor, MD, FRCS
Publication date
01-09-2008
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 9/2008
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-008-0136-4

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