Radiology Case Reports (Mar 2024)

Gluteus medius calcific tendonitis as a cause of severe anterior hip pain

  • Rashed Al-Khudairi, MBBS FRCR,
  • Alexandros Maris, MD MSc,
  • Ruhaid Khurram, MBBS FRCR,
  • Stamatios Tsamados, MD,
  • Joanna Farrant, MBChB FRCR,
  • Thomas M Armstrong, MBBS BSc FRCR

Journal volume & issue
Vol. 19, no. 3
pp. 1004 – 1007

Abstract

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Calcific tendinopathy in the gluteus medius is uncommon and sporadically reported. It may be asymptomatic or present with acute or chronic pain. Pain is usually isolated to the lateral hip overlying the gluteal muscles or greater trochanter. We present a rare case of gluteus medius calcific tendonitis as a cause of severe anterior hip pain. Given the atypical local and clinical presentation these can be often misdiagnosed as septic arthritis or fracture which may lead to overtreatment and even unnecessary surgery. This article will detail the clinical presentation, imaging findings, and clinical course following treatment. This will facilitate the clinician in making a timely diagnosis and establishing an effective treatment course.

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