Choudur Hema Nalini, Munk Peter L
Department of Radiology, Hamilton General Hospital, McMaster University, Hamilton, Ontario, Canada.
J Clin Rheumatol. 2006 Aug;12(4):176-8. doi: 10.1097/01.rhu.0000230457.51606.62.
Gluteus maximus tendonitis with its clinical and imaging patterns has been described in radiologic, orthopedic, and rheumatology texts and journals. Image-guided treatment, however, is not a familiar approach and has only been described in one case report in the English literature to the best of our knowledge. We present 4 patients with calcific tendonitis of the gluteus maximus who presented with excruciating pain in the posterior upper thigh with limitation of daily activities. The diagnosis was based on the characteristic radiologic appearances of calcifications in the tendon with cortical bone erosion and muscle edema. Treatment was with image-guided (fluoroscopy or computed tomography) injection of a local anesthetic and corticosteroid. All patients were pain-free on follow up.
臀大肌肌腱炎及其临床和影像学表现已在放射学、骨科和风湿病学的教科书及期刊中有所描述。然而，图像引导下的治疗并非常见方法，据我们所知，英文文献中仅有一篇病例报告对此进行过描述。我们报告4例臀大肌钙化性肌腱炎患者，他们均表现为大腿后上部剧痛，日常活动受限。诊断依据是肌腱钙化伴皮质骨侵蚀和肌肉水肿的特征性影像学表现。治疗采用图像引导（荧光透视或计算机断层扫描）下注射局部麻醉药和皮质类固醇。所有患者随访时均无疼痛。
