Changing appearance of intraosseous calcific tendinitis in the shoulder with time: A case report

We report a case of a 66-year-old woman who presented with acute shoulder pain. Initial radiographs revealed a sclerotic intraosseous lesion in the greater tuberosity with associated cortical erosions and subacromial calcification. The diagnosis of intraosseous calcific tendinitis was confirmed with...

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Main Authors: Jeffrey Lawrence Hutchinson, BMSc, Daniel Gusberti, MD, George Saab, MD, PhD
Format: Article
Language:English
Published: Elsevier 2019-10-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S193004331930264X
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author Jeffrey Lawrence Hutchinson, BMSc
Daniel Gusberti, MD
George Saab, MD, PhD
author_facet Jeffrey Lawrence Hutchinson, BMSc
Daniel Gusberti, MD
George Saab, MD, PhD
author_sort Jeffrey Lawrence Hutchinson, BMSc
collection DOAJ
description We report a case of a 66-year-old woman who presented with acute shoulder pain. Initial radiographs revealed a sclerotic intraosseous lesion in the greater tuberosity with associated cortical erosions and subacromial calcification. The diagnosis of intraosseous calcific tendinitis was confirmed with additional magnetic resonance imaging and nuclear medicine imaging. Within 3 months of conservative measures, the patient's symptoms improved but the radiographic appearance had become more aggressive with a wider zone of transition. After 1 year, the imaging findings continued to change, with the development of subcortical cysts. Correct diagnosis of this uncommon manifestation of tendinitis requires knowledge of how its appearance changes with time. Keywords: Calcific tendinitis, Intraosseous migration
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spelling doaj.art-fcb02c27529641a0a49b7d2b4bd0e8342022-12-21T22:21:36ZengElsevierRadiology Case Reports1930-04332019-10-01141012671271Changing appearance of intraosseous calcific tendinitis in the shoulder with time: A case reportJeffrey Lawrence Hutchinson, BMSc0Daniel Gusberti, MD1George Saab, MD, PhD2Department of Medical Imaging, Grey Bruce Health Services, 1800 8th Street East, Owen Sound, ON N4K 6M9, CanadaDepartment of Family Medicine, Grey Bruce Health Services, Owen Sound, Ontario, CanadaDepartment of Medical Imaging, Grey Bruce Health Services, 1800 8th Street East, Owen Sound, ON N4K 6M9, Canada; Corresponding author.We report a case of a 66-year-old woman who presented with acute shoulder pain. Initial radiographs revealed a sclerotic intraosseous lesion in the greater tuberosity with associated cortical erosions and subacromial calcification. The diagnosis of intraosseous calcific tendinitis was confirmed with additional magnetic resonance imaging and nuclear medicine imaging. Within 3 months of conservative measures, the patient's symptoms improved but the radiographic appearance had become more aggressive with a wider zone of transition. After 1 year, the imaging findings continued to change, with the development of subcortical cysts. Correct diagnosis of this uncommon manifestation of tendinitis requires knowledge of how its appearance changes with time. Keywords: Calcific tendinitis, Intraosseous migrationhttp://www.sciencedirect.com/science/article/pii/S193004331930264X
spellingShingle Jeffrey Lawrence Hutchinson, BMSc
Daniel Gusberti, MD
George Saab, MD, PhD
Changing appearance of intraosseous calcific tendinitis in the shoulder with time: A case report
Radiology Case Reports
title Changing appearance of intraosseous calcific tendinitis in the shoulder with time: A case report
title_full Changing appearance of intraosseous calcific tendinitis in the shoulder with time: A case report
title_fullStr Changing appearance of intraosseous calcific tendinitis in the shoulder with time: A case report
title_full_unstemmed Changing appearance of intraosseous calcific tendinitis in the shoulder with time: A case report
title_short Changing appearance of intraosseous calcific tendinitis in the shoulder with time: A case report
title_sort changing appearance of intraosseous calcific tendinitis in the shoulder with time a case report
url http://www.sciencedirect.com/science/article/pii/S193004331930264X
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