Van Damme Karel, De Coster Liesbeth, Mermuys Koen, Van den Eeckhaut Anja, Walgraeve Natascha, De Geeter Frank
Department of Nuclear Medicine, Algemeen Ziekenhuis Sint-Jan Brugge-Oostende Belgium, Ruddershove 10, Brugge 8000, Belgium.
Department of Radiology, Algemeen Ziekenhuis Sint-Jan Brugge-Oostende Belgium, Ruddershove 10, Brugge 8000, Belgium.
Radiol Case Rep. 2017 Jan 17;12(1):168-174. doi: 10.1016/j.radcr.2016.11.009. eCollection 2017 Mar.
We describe the bone scan and single-photon emission computed tomography/computed tomography findings in calcific tendinitis of the gluteus maximus and discuss its pathophysiology. Although this tendinopathy is mostly self-limiting, awareness of this disease is important for 2 reasons. First, it may explain acute hip symptoms in patients in the resorptive phase of the calcifications. Second, it should be considered as a differential diagnosis for bone scan hot spots in the vicinity of the gluteus maximus tendon and for cortical erosion seen in that region on X-rays or CT.
我们描述了臀大肌钙化性肌腱炎的骨扫描及单光子发射计算机断层扫描/计算机断层扫描结果，并讨论其病理生理学。尽管这种肌腱病大多为自限性，但认识这种疾病很重要，原因有两点。第一，它可能解释钙化吸收期患者的急性髋部症状。第二，对于臀大肌肌腱附近骨扫描的热点以及X线或CT上该区域出现的皮质侵蚀，应将其视为鉴别诊断。
