Female, 60 years old. Trauma 3 days ago, limping, ttp. We see no fracture. There is deformity of the left distal gluteus minimus tendon which appears at least partially separated from the greater trochanter. Edema and a small amount of fluid surrounds the distal gluteus minimus tendon. There is also increased signal intensity within the vastus lateralis muscle at its origin indicating a strain, with edema adjacent to its anterior fibers. The gluteus medius tendon appears intact.There is a small amount of fluid in the left hip joint, but there is no large effusion. Mild osteoarthritis affects both hips. Moderate osteoarthritis affects the pubic symphysis. Mild to moderate osteoarthritis affects both sacroiliac joints. There is a small amount of fluid within the right sacroiliac joint which is nonspecific, and we see no edema in the adjacent bone to indicate an inflammatory process. Facet joint osteoarthritis affects the lower lumbar spine.
1.No fracture evident.2.At least high-grade partial tear of the distal gluteus minimus tendon at its insertion on the greater trochanter, and strain of the origin of the vastus lateralis muscle.