My first post on OCAD! Looking forward to thoughts from the group. My practice is mostly oncology but this sports cases came in today from the hospital emergency room.
43 F with hx of sciatica and deg disc disease. She felt a pop in the back of her left leg 3 days ago descending stairs while holding a heavy object. Seen at another facility 3 days ago where the CT and X-rays were done. Sent home with pain meds. She re-presents with intractable pain and inability to walk. Now pain radiating to left flank and groin.
Thank you!
I think this is calcific tendinosis (hydroxyapatite deposition) at the gluteus maximus insertion. I have seen this degree of edema and chronic mild cortical erosion from calcific tendinosis at this site. I think the reported popping sensation might be unrelated to this imaging finding.