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JYMS : Journal of Yeungnam Medical Science

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1 "Wonho Lee"
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Case report
Ultrasonographic and magnetic resonance images of a gluteus maximus tear
Jong Bum Kim, Wonho Lee, Min Cheol Chang
Yeungnam Univ J Med. 2021;38(2):157-159.   Published online July 31, 2020
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AbstractAbstract PDF
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.


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JYMS : Journal of Yeungnam Medical Science