Case Report: C-arm–assisted peri-hip endoscopic debridement for calcific tendinitis at the deep insertion of the gluteus maximus - Takeaways - MDSpire

Case Report: C-arm–assisted peri-hip endoscopic debridement for calcific tendinitis at the deep insertion of the gluteus maximus

  • By

  • Nan Wang

  • Gangfeng Hu

  • Fangqi Xu

  • June 26, 2026

  • 0 min

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  • 1

    Calcific tendinitis at the deep insertion of the gluteus maximus is uncommon and often misdiagnosed due to inconclusive radiographic findings.

  • 2

    A 53-year-old woman with lateral hip pain underwent MRI and CT, which confirmed calcific deposition after plain radiographs were inconclusive.

  • 3

    Endoscopic debridement was performed under C-arm fluoroscopic guidance, successfully removing the calcific material and confirming calcific tendinopathy.

  • 4

    Postoperative CT verified complete removal of the lesion, and the patient experienced significant pain relief and functional improvement at 6 weeks.

  • 5

    This case illustrates an effective imaging-guided approach for diagnosing and treating deep peri-hip calcific lesions when initial radiographs are inadequate.

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