Calcific tendinitis of the gluteus maximus tendon: CT findings

Hottat, Nathalie; Fumiere, Eric; Delcour, Christian

doi:10.1007/s003300050799

Cited by 23 publications

(16 citation statements)

References 4 publications

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“…In acute cases, erythema and local increase of temperature are observed in soft tissues. These findings also suggest an infection 1,7. Our patients’ infection markers were within normal limits.…”

Section: Discussionsupporting

confidence: 71%

Computed tomography-guided bupivacaine and corticosteroid injection for the treatment of symptomatic calcification in the great toe tendon

Karatoprak¹,

Karaca²,

Erdem³

et al. 2014

LRA

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BackgroundCalcification in the great toe tendon is a rare disorder that is characterized by the deposition of calcium on degenerative collagen fibrils.Case presentationsIn this report, we present two cases of calcific tendonitis: one in the adductor hallucis and the other in the flexor hallucis longus tendon. We preferred computed tomography-guided steroid injection in our cases because of pain unresponsive to conservative treatment. Patients were free of symptoms at the follow-up visit, 4 weeks after injection.ConclusionCalcification of the hallux tendons is a rare disorder. Treatment of tendonitis consists of nonsteroidal anti-inflammatory drugs. Local anesthetic and steroid injection may be considered in cases unresponsive to conservative treatment. Because of the anatomic location of tendons, injection could be difficult. Computed tomography guidance may improve the success rate of injections.

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Section: Discussionsupporting

confidence: 71%

Computed tomography-guided bupivacaine and corticosteroid injection for the treatment of symptomatic calcification in the great toe tendon

Karatoprak¹,

Karaca²,

Erdem³

et al. 2014

LRA

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“…A three-dimensional reconstruction of the proximal femur shows an abnormal calcific protrusion on the posterior proximal femur (arrow), consistent with calcific tendinopathy. This has been well documented (1,(3)(4)(5)(6) in previous reports of the CT findings of gluteal tendinopathy, but our case does not show the cortical erosion evident in previous cases. Stress fracture was thought to be unlikely because of the location and extension of calcification into the gluteal tendon in the absence of a lucent cortical lesion on CT. Fig.…”

contrasting

confidence: 48%

Scintigraphy of Gluteal Tendonopathy

Strokon¹,

Archer²,

Wall³

2003

Clinical Nuclear Medicine

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A 67-year-old woman with a long history of back pain began a walking program for exercise. Six weeks later, she experienced pain in the posterior aspect of her left thigh that became increasingly severe. She was referred to an orthopedic surgeon, who ordered a plain radiograph, the findings of which were reported as normal. He found localized tenderness in the upper third of the posterior thigh. Bone scintigraphy revealed a localized area of increased uptake at the site, and computed tomography (CT) showed calcification in the tendon of the gluteus maximus at its insertion into the posterior cortex of the left femur. This was thought to be consistent with gluteal tendinopathy, because it is similar to previously reported cases.

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“…In addition, MO occurs predominantly in the muscles of the extremities, although other localisations, such as paravertebral musculature are also known [55]. Other causes of muscle calcifications, such as calcific tendinitis, angiomatosis, systemic sclerosis, and calcific myonecrosis must also be considered [56][57][58][59]. Finally, 2.5% of SMM presented as local or diffuse intramuscular bleeding.…”

Section: Radiological Features and Differential Diagnoses Of Smmmentioning

confidence: 94%