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Hip pain caused by buttock claudication. Relief of symptoms by transluminal angioplasty

G Smith1, J Train, H Mitty

  • 1Rush-Pryesbyterian-St. Luke's Medical Center, Chicago, IL 60612.

Clinical Orthopaedics and Related Research
|November 1, 1992
PubMed

Insights

Severe hip pain can signal buttock claudication from hypogastric artery stenosis. Angiography is key for diagnosis, and transluminal angioplasty offers effective treatment for this rare vascular condition.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Diagnostic Imaging

Background:

  • Hip pain can present diagnostic challenges, sometimes masking underlying vascular causes.
  • Isolated hypogastric artery stenosis is a rare condition that can mimic musculoskeletal pain.

Observation:

  • Two patients presented with severe hip pain attributed to buttock claudication.
  • Physical examination, including palpable distal pulses, initially diverted suspicion from vascular pathology.

Findings:

  • Diagnosis was confirmed via angiography, revealing isolated stenosis of the hypogastric artery.
  • Both patients were successfully treated with transluminal angioplasty.

Implications:

  • This case highlights the importance of considering vascular causes in unexplained hip and buttock pain.
  • Transluminal angioplasty is presented as the primary treatment for hypogastric artery stenosis due to its efficacy and accessibility.

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