Subacromial-subdeltoid calcific bursitis

Case contributed by Dr Domenico Nicoletti

Presentation

Pain and functional limitation.

Patient Data

Age: 65 years
Gender: Female

RX right shoulder

Voluminous oval-shaped calcification with regular margins inferior and posterior to the acromion, in the vicinity of the subacromial-subdeltoid synovial bursa and rotator cuff insertion.

The Neers projection shows the absence of continuity between calcification and the humeral surface.

 

Case Discussion

As a result of repeated traumas, functional overloads (repetitive jobs), or wrong improper posture, the bursae become inflamed causing pain. Inflammation can lead to bursal and/or peri-bursal calcification. In this case the pain is frequently very intense and with sudden onset. This particular clinical picture is called calcific tendinitis / bursitis.
 

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