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DOI:10.2214/AJR.05.1097
AJR 2007; 188:515-519
© American Roentgen Ray Society

Clinical Observations

Hip Pain in Renal Transplant Recipients: Symptomatic Gluteus Minimus and Gluteus Medius Tendon Abnormality as an Alternative MRI Diagnosis to Avascular Necrosis

Andre W. Demant1, Leonardo Kocovic1, Jana Henschkowski2, Klaus A. Siebenrock3, Paolo Ferrari4, Lynne S. Steinbach5 and Suzanne E. Anderson1

1 Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Freiburg Strasse, 24 Thunstrasses, Bern CH-3010, Switzerland.
2 Department of Nephrology and Hypertension, Inselspital, University of Bern, Bern, Switzerland.
3 Department of Orthopedic Surgery, Inselspital, University of Bern, Bern, Switzerland.
4 Department of Nephrology, Fremantle Hospital, University of Western Australia, Perth, WA, Australia.
5 Department of Radiology, University of California San Francisco, San Francisco, CA.

OBJECTIVE. The purpose of this study was to review the diagnosis on MRI and radiography of 24 renal transplant recipients with hip pain suspicious for avascular necrosis and to investigate whether there is an association between kidney transplant patients with end-stage renal disease and symptomatic gluteus minimus and medius tendon abnormality.

CONCLUSION. Symptomatic gluteus minimus and medius tendon lesions and abnormalities can occur in renal allograft recipients. The MRI findings of this entity allow an alternative diagnosis in this patient population.

Keywords: avascular necrosis • glucocorticoid treatment • hip • kidney disease • MRI • musculoskeletal imaging • renal transplantation • tendons


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