Ultrasonographic and magnetic resonance images of a gluteus maximus tear

Kim, Jong Bum; Lee, Wonho; Lee, Hee Jin

doi:10.12701/yujm.2020.00500

Cited by 4 publications

(7 citation statements)

References 4 publications

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“…US is a relatively inexpensive and easily accessible diagnostic tool. Therefore, it is frequently used as an initial imaging examination[ 29 ]. With US, clinicians can identify causative lesions, such as tumors, fibrosis, and posttraumatic sequelae.…”

Section: Clinical Evaluationmentioning

confidence: 99%

Essentials of thoracic outlet syndrome: A narrative review

Lee¹,

Kim²

2021

WJCC

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Thoracic outlet syndrome (TOS) is a group of diverse disorders involving compression of the nerves and/or blood vessels in the thoracic outlet region. TOS results in pain, numbness, paresthesia, and motor weakness in the affected upper limb. We reviewed the pathophysiology, clinical evaluation, differential diagnoses, and treatment of TOS. TOS is usually classified into three types, neurogenic, venous, and arterial, according to the primarily affected structure. Both true neurogenic and disputed TOS are considered neurogenic TOS. Since identifying the causative lesions is complex, detailed history taking and thorough clinical investigation are needed. Electrodiagnostic and imaging studies are helpful for excluding other possible disorders and confirming the diagnosis of true neurogenic TOS. The existence of a disputed TOS remains controversial. Neuromuscular physicians tend to be skeptical about the existence of disputed TOS, but thoracic surgeons argue that disputed TOS is under-diagnosed. Clinicians who encounter patients with TOS need to understand its key features to avoid misdiagnosis and provide appropriate treatment.

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Section: Clinical Evaluationmentioning

confidence: 99%

Essentials of thoracic outlet syndrome: A narrative review

Lee¹,

Kim²

2021

WJCC

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“…Although clinical examination serves as the initial framework, further evaluation with imaging is warranted. Ultrasound and MRI are useful modalities to evaluate the extent and location of gluteal tearing and to evaluate for impact on surrounding structures such as the sciatic nerve (6).…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, intrinsic injuries typically result in muscle fiber disruption at the myotendinous junction (5). In the limited case reports involving gluteus maximus muscle tears, the mechanisms of actions described included a “jump down” from a 150-cm high lorry, hiking, and after performing circulatory pelvic muscle strengthening during a water aerobics class (4,6,7).…”

Section: Discussionmentioning

confidence: 99%

Gluteus Maximus Distal Myotendinous Junction Tear in a Pickleball Player: A Case Report

King,

Johnson,

Jelsing

2024

Curr Sports Med Rep

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A 72-year-old male presented for evaluation of a 2-wk history left buttock pain that began while playing pickleball. He sustained a left inversion ankle sprain while in a squatted position and landed on his left buttock. Four days after his injury, he developed extensive bruising involving his lower back, buttock, and left thigh. On examination, he had tenderness to palpation at the left side of the sacrum and in the region of the deep external rotators. Left hip range of motion was full in extension but limited to 90° of flexion, which reproduced left-sided buttock pain. External rotation provoked pain, but internal rotation was full and pain free. MRI of the pelvis demonstrated a grade 2 partial thickness tear of the left gluteus maximus muscle at its distal myotendinous junction with associated retraction and intramuscular hematoma. He was managed with compression with biking shorts, icing, acetaminophen, and physical therapy. He returned to pickleball approximately 4 wk after his injury, and at his 4-wk follow-up, he reported 99% improvement in his symptoms with the only remaining complaint being minimal discomfort with gluteal stretching.

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“…USG of the inguinal area is a useful tool that can be rapidly and easily applied at the bedside of patients who are suspected to have an obturator hernia. Moreover, USG is useful for diagnosing other musculoskeletal disorders, such as muscle tears, nerve entrapment, or bursitis, which can cause thigh pain[ 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Obturator hernia - a rare etiology of lateral thigh pain: A case report

Kim¹,

Lee²

2021

WJCC

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BACKGROUND Lateral thigh pain is a common complaint in patients visiting a pain clinic. Herein, we describe the case of a patient with lateral thigh pain caused by an obturator hernia. CASE SUMMARY An 83-year-old woman visited the emergency room with suddenly aggravated right lateral thigh pain. Magnetic resonance imaging of the thigh revealed no abnormal findings in the lateral thigh area. However, an obturator hernia between the pectineus and obturator externus muscles was observed by chance. Retroperitoneal computed tomography revealed a herniated small bowel with an incarceration point at the right obturator canal and a dilated loop of the small bowel upstream. Ultrasonography of the right inguinal region revealed a distended bowel loop in the right pectineus muscle. CONCLUSION Our report provides clinicians with information that an obturator hernia can cause lateral thigh pain.

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Ultrasonographic and magnetic resonance images of a gluteus maximus tear

Cited by 4 publications

References 4 publications

Essentials of thoracic outlet syndrome: A narrative review

Essentials of thoracic outlet syndrome: A narrative review

Gluteus Maximus Distal Myotendinous Junction Tear in a Pickleball Player: A Case Report

Obturator hernia - a rare etiology of lateral thigh pain: A case report

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