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Annotated abstract

Two cases of calcific enthesitis at the linea aspera: a diagnostic conundrum

jmev · 2026-03-16 · canonical JSON source

4 visible annotations · policy: published · automated confidence ≥ 75.00%

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The osseous ridge on the femur’s posterior aspect, known as the linea aspera, serves as an attachment point for several important thigh muscles. While calcifications in this area are often linked to underlying conditions such as crystalline deposition or repetitive mechanical stress, they can also arise spontaneously in otherwise healthy individuals. This occurrence is relatively rare and may result in pain and a reduced range of motion. Differentiating between calcific tendinitis, periostitis ossificans and surface sarcomas (like periosteal osteosarcoma) can be a diagnostic challenge. To effectively manage this self-limiting condition, it is essential to understand the pathophysiology, imaging findings and clinical presentation. In this case report, we discuss unusual instances of calcification along the linea aspera in two individuals without any predisposing factors, emphasising the importance of early recognition and diagnosis. Such calcifications are rare, and accurately distinguishing them from other pathologies is crucial for optimal management.