Gluteal calcific tendinitis

Case contributed by Dr Henry Knipe

Presentation

Left hip pain.

Patient Data

Age: 45 years
Gender: Female
X-ray

Homogeneous oval-shaped calcifications overlying the gluteal insertion into the greater trochanter bilaterally, although larger on the left. 

No focal osseous lesion. No osteoarthritis. 

X-ray

Three years later

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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Case information

rID: 63321
Published: 26th Sep 2018
Last edited: 26th Sep 2018
Tag: li
Inclusion in quiz mode: Included

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