I got this patient coming in saying she had lateral hip pain with difficulty walking up the stairs. I did find some tendinopathic gluteal tendons and bursal thickening of Troch bursa.
However, as I scan through the posterior hip where she did not indicate any pain, I found a collection with stranding in it. Patient denied trauma or any recent fall.
The clips were taken as I told the patient to flex the knee and do a tick tock manoeuvre (external-internal rotation at the knee to activate the deep lateral rotators) and I can see the collection changes in shape, so I thought it was a haematoma rather than a deep bursa.
The radiologist thinks there is a gemellus tear. But I am not quite sure how a lateral rotator tear looks like other than seeing the secondary signs (the haematoma). Do you have any examples of these tears?