Presentation
Severe lateral hip pain with bulging laterally when patient sits.
Patient Data
Age: 65 years
Gender: Male
From the case:
Ruptured sub gluteus maximus (trochanteric) bursa
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Grossly distended sub gluteus maximus bursa with disruption anteriorly leading to swelling and edema in the upper anterior thigh muscles.
There is also a distended sub gluteus medius bursa (arrow) and a labral tear with minor paralabral cyst (circle).
The gluteus medius tendon is partially disrupted at its trochanteric insertion laterally (but not superolaterally) and associated with minor bone marrow edema in the greater trochanter.