Presentation
Left hip pain.
Patient Data
Age: 45 years
Gender: Female
From the case:
Gluteal calcific tendinitis
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Homogeneous oval-shaped calcifications overlying the gluteal insertion into the greater trochanter bilaterally, although larger on the left.
No focal osseous lesion. No osteoarthritis.
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Previously demonstrated bilateral gluteal tendon insertion calcification has almost completely resolved.
Case Discussion
Calcific tendinitis, most commonly from HADD deposition, more commonly occurs in the shoulders than in the hips. The main differential is degenerative enthesopathy although the morphology is different. Calcific tendinitis tends to be homogeneous, smooth, rounded and can resolve whereas enthesopathy tends to more heterogeneous, irregular, triangular and persistent.
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