Calcifying tendinitis of the rotator cuff with cortical bone erosion

Chan, Roxanne; Kim, David H.; Millett, Peter J.; Weissman, Barbara N.

doi:10.1007/s00256-004-0887-2

Cited by 14 publications

(16 citation statements)

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“…These changes include cortical erosions (Cahir and Saifuddin, 2005;Chadwick, 1989;Flemming et al, 2003;Fritz et al, 1994;Hayes et al, 1987b), periosteal reactions, bone marrow extensions (Dürr et al, 1997;Flemming et al, 2003) and new bone formation (Chadwick, 1989), particularly woven bone (Hayes et al, 1987). Similar changes have been identified at fibrocartilaginous entheses (Chan et al, 2004), particularly (but not exclusively) in the rotator cuff (Diehl et al, 2011;Oliva et al, 2012;Porcellini et al, 2009;Uhthoff and Loehr, 1997). Therefore, this should be considered as a possible differential diagnosis for cortical erosions, periosteal reaction or new bone formation at or adjacent to either fibrous or fibrocartilaginous entheses, especially if these changes affect only one enthesis or an endocrine disease is suspected.…”

Section: Discussionmentioning

confidence: 80%

Do diseases cause entheseal changes at fibrous entheses?

Henderson

2013

International Journal of Paleopathology

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Fibrous entheses have been widely used to study activity-related stress to infer behavioural patterns in past populations. Unlike their fibrocartilaginous counterparts, the effect of disease processes has been less widely discussed in the osteoarchaeological literature. This study uses a literature review to ascertain whether specific pathological changes should be taken into account when recording fibrous entheses. Due to the anatomical structure of fibrous entheses it was hypothesised that diseases which affect the structure of bone or the periosteum might be a factor in causing entheseal changes. A search of over one hundred terms was performed in PubMed with no year range stipulated, but no papers were found which related to entheseal changes caused by any of the expected pathological processes. The paucity of literature might be due to lack of symptoms in living individuals, it is therefore suggested that a systematic study of skeletal remains is performed using recently developed recording methods to determine if pathological conditions need to be taken into account when recording entheseal changes to study activity-related stress. The search did highlight a link between calcific tendinitis and cortical erosion at fibrous entheses, and it is recommended that this is taken into account when interpreting entheseal changes in past populations.

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Section: Discussionmentioning

confidence: 80%

Do diseases cause entheseal changes at fibrous entheses?

Henderson

2013

International Journal of Paleopathology

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“…A rare complication of this condition is the migration of calcium deposits from tendon fibers, usually of the supraspinatus, to the subacromial space, into the subacromial-subdeltoid bursa (2) or into the humeral greater tuberosity (6,7,8,9), which is responsible for the intense acute shoulder pain and functional disability. This complication shows a typical US, radiographic, CT and MR imaging presentation, described in this article, which is important to know to make the correct diagnosis and avoid unnecessary invasive tests or aggressive surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Intraosseous migration of tendon calcifications is another rare painful complication of calcifying tendinitis that has been described in the literature, not only in the shoulder [6][7][8], but also in other tendon insertions such as the pectoralis major, glutei maximus and medius, adductor magnus and deltoid insertions [9]. The pathomechanism is still unknown, but seems to be mediated by acute inflammation and local vasculature changes at the tendon insertion and by mechanical effects of the muscle traction causing bone destruction.…”

Section: Imaging Descriptionmentioning

confidence: 99%

Migration of calcium deposits into subacromial–subdeltoid bursa and into humeral head as a rare complication of calcifying tendinitis: sonography and imaging

2015

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Calcifying tendinitis of the shoulder is a common condition characterized by the deposition of calcium, predominantly hydroxyapatite crystals, in the rotator cuff. A rare complication of this condition is the migration of calcium deposits from tendons, usually the supraspinatus, into the subacromial-subdeltoid bursa or into the humeral greater tuberosity. These complications are responsible for intense acute shoulder pain and functional disability. Patient anamnesis and clinical symptoms must be considered to make the diagnosis, but imaging, particularly sonography, is often necessary, showing a typical presentation related to the locations of calcium deposits. We present sonographic and other imaging features of subacromialsubdeltoid bursitis and humeral osteitis related to the migration of calcium.Keywords Shoulder pain Á Sonography Á Subacromialsubdeltoid bursitis Á Humeral osteitis Á Calcifying tendinitis Riassunto La tendinite calcifica della spalla è una patologia di comune riscontro caratterizzata dal deposito di calcio, prevalentemente cristalli di idrossiapatite, nella cuffia dei rotatori. Una rara complicanza di tale patologia è la migrazione di depositi calcifici dal tendine, solitamente il sovraspinato, nella borsa subacromion-deltoidea o a livello del trochite omerale. Queste complicanze determinano intensa sintomatologia algica ed impotenza funzionale. L'anamnesi e la sintomatologia clinica possono indirizzare la diagnosi ma il ricorso alla diagnostica per immagini, in particolare alla valutazione ecografica, spesso è necessario per giungere alla diagnosi, mostrando caratteristiche patognomoniche in relazione alla sede dei depositi calcifici. In questo lavoro vengono presentati i quadri imaging esemplificativi della borsite subacromion-deltoidea e dell'osteite omerale derivanti dalla migrazione dei depositi di calcio.

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“…In this case, tendon rupture release hydroxyapatite crystals in the surrounding soft tissue and leads to an acute inflammatory response (Oliva et al 2012, Zibis et al 2013. Clinical manifestations of tendinopathy influenced by calcium deposits can increase in the rupture rate, a shorter recovery time and a greater demand for postoperative problems (Chan et al 2004). Clinical manifestations of the calcified tendon process include chronic pain related to activity, sensitivity, localized edema, and varying degrees of decreased range of motion.…”

Section: Introductionmentioning

confidence: 99%

Swimming exercise changed the collagen synthesis and calcification in calcaneal tendons of mice

Carvalho

Moura

Nogueira

et al. 2020

An. Acad. Bras. Ciênc.

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Obesity is characterized by the excess of body fat and, therefore, may cause musculoskeletal alterations that can negatively influence the tendons. Such overweightinfluenced alterations are exercise sensitive though. Morphological and biochemical alterations were reported in the calcaneal tendon of mice submitted to a lipid-rich diets along with practicing exercises, with the following groups: normal diet without exercise (ND), normal diet with exercise (NDex), lipid-rich diet without exercise (LD), lipid-rich diet without exercise (LDex). The calcaneal tendons were removed and subjected to histological and biochemical analysis. Layers of the tissue were stained with Hematoxylin and Eosin, Picrosirius Red and Von Kossa while a protein dosage was conduce by the Bradford method. The morphologicals analysis there was no statistical difference concerning the number of fibroblasts among the groups. Groups submitted to exercises showed higher amount of collagen and non-collagenous protein deposition. The lipid-rich diet without exercse group had a more disorganized collagen matrix with intense basophilia. The same group had areas of calcification confirmed by Von Kossa technique. Practicing physical activity, such as swimming, can improve the changes caused in the calcaneal tendon in mice submitted to a lipid-rich diets, having a better collagen organization and the synthesis.

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Calcifying tendinitis of the rotator cuff with cortical bone erosion

Cited by 14 publications

References 0 publications

Do diseases cause entheseal changes at fibrous entheses?

Do diseases cause entheseal changes at fibrous entheses?

Migration of calcium deposits into subacromial–subdeltoid bursa and into humeral head as a rare complication of calcifying tendinitis: sonography and imaging

Swimming exercise changed the collagen synthesis and calcification in calcaneal tendons of mice

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