Radiographic Appearance of Cosmetic Gluteal Injections in a PatientWith Proximal Hamstring Tear

Case: A 45-year-old woman presented 6 months after a right proximal hamstring repair with worsening pain over her surgical site. Anterior-posterior pelvis x-rays revealed bilateral soft-tissue densities around the hips. Extensive workup revealed no medical basis for the radiographic appearance. It was discovered that the patient's cosmetic gluteal injections were, in fact, the cause. Follow-up x-rays revealed near-complete resolution of the densities 8 months later. Conclusions: We present this case to highlight the need to consider cosmetic injections as a potential cause of abnormal radiographic soft-tissue densities in the absence of other clear medical explanations in patients who present with musculoskeletal complaints.