Calcific Tendinitis of Shoulder Associated with Intraosseous Involvement: A Case Report

Ku,  Jung Hoei; Cho,  Hyung Lae; Park,  Man Jun; Kim,  Jeong Cheol

doi:2011.14.2.242

Clin Shoulder Elbow > Volume 14(2); 2011 > Article

Case Report

Clinics in Shoulder and Elbow 2011;14(2):242-247.
DOI: https://doi.org/10.5397/CiSE.2011.14.2.242 Published online December 31, 2011.

Calcific Tendinitis of Shoulder Associated with Intraosseous Involvement: A Case Report

Jung Hoei Ku, Hyung Lae Cho, Man Jun Park, Jeong Cheol Kim

Department of Orthopaedic Surgery, Good Samsun Hospital, Busan, Korea. jun4128@naver.com

골내 침범을 동반한 견관절 석회화 건염 - 증례 보고 -

구정회·조형래·박만준·김정철

좋은삼선병원 정형외과

Abstract

PURPOSE
We present an atypical case of calcific tendinitis of the shoulder with intraosseous loculation. MATERIALS AND METHODS: A 59 year-old female complained of acute exacerbation of chronic left shoulder pain and restricted range of motion. Simple radiographs showed a subacromial calcific deposit and magnetic resonance imaging revealed cortical erosion with intraosseous extension of calcific material mimicking infection or tumor. She was managed with arthroscopic excision of the calcific deposit, curettage of the intraosseous lesion and subsequent rotator cuff repair with a suture anchor.
RESULTS
Her acute pain promptly subsided. Her rehabilitation was uneventful and she gained full range of motion. Radiographs five months after the operation showed no recurrence of calcific material.
CONCLUSION
Calcific tendinitis of the shoulder can present with a variety of images involving the adjacent bone. The correct recognition of this disorder may avoid unnecessary investigation and treatment.

Key Words: Calcific tendinitis; Intraosseous loculation; Arthroscopic excision