Supraspinatus calcific tendinitis with calcific bursitis

Case contributed by Dr Maulik S Patel

Presentation

Acute, non-traumatic onset of right shoulder pain for 1 week.

Patient Data

Age: 55 years
Gender: Male

There is increased acromio-humeral space.

There is amorphous calcification near greater tuberosity of humeral head.

There is curvilinear calcification overlying greater tuberosity of humeral head; reaching near surgical neck of humerus.

Gleno-humeral joint space is maintained. No irregularity of the articular surfaces is noted. Acromio-clavicular joint is normal. No fracture or dislocation is noted.  No lytic or sclerotic lesion is seen in the visualized bones.  Rest of the soft tissue reveals no abnormality.

Modality: Ultrasound

There is calcification involving posterior fibres of supraspinatus tendon, measuring approximately 14 x 12 x 6 mm. There is no posteror acoustic shadowing. Rest of the supraspinatus tendon shows normal echopattern. 

Infraspinatous, subscapularis and biceps long head tendons show normal echogenesity. No tear is noted on sonography.

There is no fatty infiltration / atrophy of supraspinatous or infraspinatous muscles.

There is no gleno-humeral joint effusion.                                    

There is moderate subacromial - subdeltoid bursaleffusion. There are dependent tiny echogenic foci abutting inner wall of bursa along with peribursal hypervascularity. 

Case Discussion

Findings of supraspintaus calcific tendinosis and calcific subdeltoid-subacromial bursitis due to leak of calcium from tendon into bursa.

PlayAdd to Share

Case Information

rID: 43602
Case created: 18th Mar 2016
Last edited: 1st Jun 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.