Calcific tendinitis of the rotator cuff associated with intraosseous loculation: Two case reports

Sola, Wilson Carlos; Drake, Gregory N.; Ramos, Carlos Henrique; Gomes, André Francisco; Gartsman, Gary M.

doi:10.1016/j.jse.2009.02.009

Cited by 16 publications

(9 citation statements)

References 12 publications

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“…c, d T1-and FS T2-weighted MR images, respectively, confirm this erosion, which is accompanied by edema-like high signal intensity of the bone marrow on FS T2-weighted sequences the spontaneous disappearance of a large calcification (15 mm) documented on radiography and MRI in the greater tuberosity of the humerus. Later, a few other isolated cases were reported affecting the greater tuberosity of the humerus [2,[22][23][24] or the anterior inferior iliac spine [25]. Several examples affecting the greater tuberosity of the humerus were also illustrated in review articles and book chapters [5,7,20,26].…”

Section: Subcortical Calcium Migrationmentioning

confidence: 99%

Intraosseous migration of tendinous calcifications: cortical erosions, subcortical migration and extensive intramedullary diffusion, a SIMS series

et al. 2015

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Calcium hydroxyapatite crystal deposition is a common disorder, which sometimes causes acute pain as calcifications dissolve and migrate into adjacent soft tissue. Intraosseous calcium penetration has also been described. We illustrate the appearance of these lesions using a series of 35 cases compiled by members of the French Society of Musculoskeletal Imaging (Société d'Imagerie Musculo-Squelettique, SIMS). The first group in our series (7 cases) involved calcification-related cortical erosions of the humeral and femoral diaphyses, in particular at the pectoralis major and gluteus maximus insertions. A second group (28 cases) involved the presence of calcium material in subcortical areas. The most common site was the greater tubercle of the humerus, accompanying a calcifying tendinopathy of the supraspinatus. In addition, an extensive intramedullary diffusion of calcium deposits was observed in four of these cases, associated with cortical erosion in one case and subcortical lesions in three cases. Cortical erosions and intraosseous migration of calcifications associated with calcific tendinitis may be confused with neoplasm or infection. It is important to recognize atypical presentations of hydroxyapatite deposition to avoid unnecessary investigation or surgery.

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Section: Subcortical Calcium Migrationmentioning

confidence: 99%

Intraosseous migration of tendinous calcifications: cortical erosions, subcortical migration and extensive intramedullary diffusion, a SIMS series

et al. 2015

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“…Homogeneous, well-defined deposits that are contained within the tendon and cause minimal symptoms are observed in the formative and resting phases. In the resorptive phase, however, the deposits grow in size, become ill-defined, and often migrate to the adjacent tissues [1,9], where they may extend beneath or within the overlying bursa, erode into the underlying bone [10,11] or, as described in this report, migrate medially within the tendon substance to the myotendinous junction of the corresponding rotator cuff muscle. The dispersion of hydroxyapatite crystals into neighboring tissues triggers an acute inflammatory response with severe pain and tenderness that is frequently seen with MRI as bursal fluid, soft tissue edema, or marrow edema about intraosseous deposits.…”

Section: Discussionmentioning

confidence: 61%

Intramuscular migration of calcium hydroxyapatite crystal deposits involving the rotator cuff tendons of the shoulder: report of 11 patients

et al. 2015

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“…4,12 In most reported case studies, painfulness may also occur due to bone or cortical erosion. 10,14,17 Another phenomenon that causes shoulder pain is sudden inflammation that produces an aggressive inflammatory reaction with inflammatory cell accumulation, excessive edema and increasing intratendineous pressure. 6,15 This reaction leads to severe pain that certain researchers have attributed to secondary impingement resulting from increased tendon size or to the rupture of Western Undergraduate Research Journal STUDENTS IN THE FIELD deposits into the subacromial space or the bursa.…”

Section: Discussionmentioning

confidence: 99%

“…10,13 No correlation between the dominant arm and the affected shoulder has been found; the disorder occurs randomly on the both of the arms. 1,4,10,13,14 We report a case involving infraspinatus and teres minor tendon calcification and review the relevant literature.…”

Section: Introductionmentioning

confidence: 99%

Infraspinatus and Teres Minor Tendon Calcification with Severe Pain

2017

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Calcific tendinitis is an extremely common shoulder disorder which affects 2.7 to 10.3% of the adult population. However, clear details regarding the formation of calcific tendinitis have only been found recently, and its pathology still under debate. In this report, we present a case of calcific tendinitis affect both the infraspinatus and the teres minor tendon with both X-ray and ultrasound findings. Calcific tendinitis at the infraspinatus is rare (around 8.4% in all rotator cuff calcific tendinitis), and no separate case report on calcific tendinitis has been reported in the teres minor region in the preceding several years, therefore, the rarity of reporting this case was considered.4 We assume that additional case reports can help to further improve our understanding regarding infraspinatus and teres minor tendon calcification.

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Calcific tendinitis of the rotator cuff associated with intraosseous loculation: Two case reports

Cited by 16 publications

References 12 publications

Intraosseous migration of tendinous calcifications: cortical erosions, subcortical migration and extensive intramedullary diffusion, a SIMS series

Intraosseous migration of tendinous calcifications: cortical erosions, subcortical migration and extensive intramedullary diffusion, a SIMS series

Intramuscular migration of calcium hydroxyapatite crystal deposits involving the rotator cuff tendons of the shoulder: report of 11 patients

Infraspinatus and Teres Minor Tendon Calcification with Severe Pain

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