To demonstrate a practical, integrated imaging-guided approach for diagnosing and surgically treating calcific tendinitis at the deep insertion of the gluteus maximus when radiographs are inconclusive.
Approach:
Imaging Techniques: Plain radiographs were inconclusive; MRI showed inflammatory edema surrounding the gluteus maximus insertion, while CT with 3D reconstruction identified a calcific deposit.
Key Findings:
Imaging techniques (CT and MRI) were crucial for accurate diagnosis and localization of the calcific deposit.
Endoscopic debridement under C-arm guidance effectively removed the calcific material.
Interpretation:
The case highlights a CT-planned, C-arm-assisted approach for treating deep peri-hip calcific lesions.
Limitations:
The study is based on a single case report, limiting generalizability.
Longer-term follow-up is required to evaluate durability, recurrence, tendon healing, and potential delayed complications.
Conclusion:
This case illustrates a successful imaging-guided approach for diagnosing and treating calcific tendinitis at an atypical site.
