Bilateral calcific tendinitis - supraspinatus tendon

Case contributed by Dr Mostafa El-Feky

Presentation

Bilateral shoulder pain.

Patient Data

Age: 50 years
Gender: Male
X-ray

Right shoulder

Calcific densities are noted just above the level of greater tuberosity of the right humerus.

MRI

Right shoulder

Supraspinatus calcific tendinitis with a partial tear.

Acromion type I identified. Osteoarthrosis of the acromioclavicular articulation, with lateral acromial sloping, effacing subacromial bursa, resulting in moderate impingement.

A fluid signal is noted at subcoracoid bursa reflecting bursitis.

X-ray

Left shoulder

Calcific densities are noted just above the level of greater tuberosity of the left humerus.

MRI

Left shoulder

Supraspinatus calcific tendinitis with a partial tear.

Acromion type I identified. Osteoarthrosis of the acromioclavicular articulation, with lateral acromial sloping, effacing subacromial bursa, resulting in moderate impingement.

A fluid signal is noted at subcoracoid bursa reflecting bursitis.

Case Discussion

Features of bilateral calcific tendinitis of the pre-insertional part of the supraspinatus tendon. Supraspinatus tendon is the commonest site of the rotator cuff muscle tendons for calcific tendinitis (>70%) and reported to be bilateral in 10 to 25% of patients. The Calcific / formative phase can be easily depicted on plain radiographs.

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Case information

rID: 81285
Published: 25th Aug 2020
Last edited: 25th Aug 2020
Inclusion in quiz mode: Included
Institution: Dar El Ashaa Center

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