Ultrasound-Guided Needle Lavage for Calcific Tendonitis of the Gluteus Medius Tendon

Calcific tendinitis of gluteus maximus insertion

“…In our case, MRI of the left hip localized the inflammation to the gluteus maximus and ruled out other pathologies such as labral tears, infection, and malignancy. Conservative management options include NSAIDs and physical therapy, ultrasound-guided corticosteroid injection, needle lavage, and minimally invasive percutaneous needle tenotomy [ 1 , 7 , 9 , 12 ]. With diffuse calcific deposits, partial surgical excision and debridement is recommended if conservative measures fail.…”

“…Plain radiography, computed tomography, magnetic resonance imaging, and ultrasonography are diagnostic imaging modalities that can be utilized to identify calcium deposits near the gluteus maximus tendinous insertion. Conservative management includes NSAIDs, physical therapy, and ultrasound-guided steroid injection [ 1 ] to reduce local inflammation. Minimally invasive percutaneous needle tenotomy [ 2 ] or surgical debridement of the calcific deposit, with or without tendon repair, may be required in refractory cases [ 3 ].…”

A 57-Year-Old Woman with Calcific Tendinitis of the Gluteus Medius Presenting with Right Lateral Hip Pain Managed by Endoscopic Debridement

“…Management of calcific tendinitis ranges from conservative to surgical options. Conservative treatment includes rest, analgesia, and physiotherapy [ 1 , 9 ], with a case series reporting a success rate of 80% [ 3 ]. There have been reports of treatment using minimally invasive techniques when conservative management has failed, such as ultrasound-guided needle lavage [ 5 , 8 ] or needle tenotomy with platelet-rich plasma injection [ 12 ], with good symptom relief.…”

“…Previous case reports have described various ways of treating calcific tendinitis of the gluteus medius, including oral analgesia [ 6 , 7 ], steroid injection [ 5 , 8 ], needle lavage [ 5 , 9 ], and surgery [ 1 , 10 ]. However, due to the paucity of literature on this condition, there is no available guideline for management.…”