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Calcific tendinitis of gluteus maximus insertion.
Steven Tran1, Taylor North2, Joshua G Hackel2
1Physical Medicine and Rehabilitation, HCA Florida West Hospital Graduate Medical Education, 8383 N Davis Hwy, Pensacola, FL 32514, USA.
Calcific tendinitis, a hip condition, rarely affects the gluteus maximus tendon. This case highlights diagnosis of this rare enthesopathy using imaging and patient history.
Area of Science:
- Orthopedic surgery
- Radiology
- Rheumatology
Background:
- Calcific tendinitis is an enthesopathy, typically self-limiting.
- It infrequently involves the gluteus maximus tendon insertion.
Observation:
- A 52-year-old woman presented with chronic posterolateral hip pain.
- Previous steroid injection provided no pain relief.
- Physical examination revealed maximal tenderness at the gluteus maximus insertion site.
Findings:
- Radiography and MRI showed edema and calcifications.
- Findings localized to the gluteus maximus tendon insertion at the gluteal tuberosity.
- Diagnosis confirmed as calcific tendinitis of the gluteus maximus tendon.
Implications:
- This case adds to the literature on rare gluteus maximus tendinitis.
- Emphasizes the importance of clinical history and physical exam in diagnosis.
- Highlights the role of imaging in identifying calcific tendinitis of the gluteus maximus tendon.
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