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Ultrasonographic and magnetic resonance images of a gluteus maximus tear

  • Kim, Jong Bum (Department of Physical Medicine and Rehabilitation, Yeungnam University Hospital) ;
  • Lee, Wonho (Department of Radiology, Topspine Hospital) ;
  • Chang, Min Cheol (Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine)
  • Received : 2020.06.19
  • Accepted : 2020.07.17
  • Published : 2021.04.30

Abstract

The diagnosis of a gluteal muscle tear or strain is based on clinical findings. However, for an accurate diagnosis, imaging examinations are also needed. Herein, we describe the case of a patient with a gluteus maximus muscle tear confirmed by ultrasonography (US) and magnetic resonance imaging (MRI). A 58-year-old woman complained of dull pain in the left lateral gluteal region that she had been experiencing for 8 days. In the axial US image, retraction of the left gluteus maximus muscle was noted around its insertion site in the iliotibial band. On an MRI, a partial tear in the left gluteus maximus was observed at its insertion site in the left iliotibial band. In addition, fluid infiltration due to edema and hemorrhage was observed. A partial left gluteal muscle tear was diagnosed. The patient was treated with physical therapy at the involved region and oral analgesics. She reported relief from the pain after 1 month of treatment. Based on this experience, we recommend US or MRI for accurate diagnosis of muscle tear or strain.

Keywords

References

  1. Draghi F, Zacchino M, Canepari M, Nucci P, Alessandrino F. Muscle injuries: ultrasound evaluation in the acute phase. J Ultrasound 2013;16:209-14. https://doi.org/10.1007/s40477-013-0019-8
  2. Noonan TJ, Garrett WE Jr. Muscle strain injury: diagnosis and treatment. J Am Acad Orthop Surg 1999;7:262-9. https://doi.org/10.5435/00124635-199907000-00006
  3. Guermazi A, Roemer FW, Robinson P, Tol JL, Regatte RR, Crema MD. Imaging of muscle injuries in sports medicine: sports imaging series. Radiology 2017;282:646-63. https://doi.org/10.1148/radiol.2017160267
  4. Selkowitz DM, Beneck GJ, Powers CM. Comparison of electromyographic activity of the superior and inferior portions of the gluteus maximus muscle during common therapeutic exercises. J Orthop Sports Phys Ther 2016;46:794-9. https://doi.org/10.2519/jospt.2016.6493

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