DOI QR코드

DOI QR Code

Isolated calcific tendinitis at the posterosuperior labrum: a rare case study

  • Suh, Dong-Hwan (Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Ji, Jong-Hun (Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Chang-Yeon (Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2020.10.27
  • Accepted : 2020.11.16
  • Published : 2020.12.01

Abstract

Calcific tendinitis of the shoulder joint, also known as chemical furuncle of the shoulder, causes intense shoulder pain and usually occurs within 1-2 cm from the insertion of the rotator cuff. We experienced a rare case of calcific tendinitis in the posterosuperior labrum of the shoulder joint in a 39-year-old male patient who presented with severe pain and weakness in the right shoulder. Radiographs and magnetic resonance imaging (MRI) findings showed calcific tendinitis in the posterosuperior labrum of the shoulder joint. A 1-week attempt at conservative treatment failed, so the calcified deposit in the posterosuperior labrum was arthroscopically removed. The patient's symptoms were completely relieved, and satisfactory clinical outcomes were achieved. Postoperative follow-up X-ray and MRI showed no recurrence of calcific tendinitis.

Keywords

References

  1. Tillander B, Franzen LE, Karlsson MH, Norlin R. Effect of steroid injections on the rotator cuff: an experimental study in rats. J Shoulder Elbow Surg 1999;8:271-4. https://doi.org/10.1016/S1058-2746(99)90141-6
  2. Farin PU, Jaroma H, Soimakallio S. Rotator cuff calcifications: treatment with US-guided technique. Radiology 1995;195:841-3. https://doi.org/10.1148/radiology.195.3.7754018
  3. Simon WH. Soft tissue disorders of the shoulder: frozen shoulder, calcific tendintis, and bicipital tendinitis. Orthop Clin North Am 1975;6:521-39. https://doi.org/10.1016/S0030-5898(20)31015-4
  4. Pendergrass EP, Hodes A Pj. Roentgen irradiation in treatment of inflammation. Am J Roentgenol 1941;45:74-106.
  5. Calcifying tendinitis. In: Rockwood CA Jr, Matsen FA III., Wirth MA, Harryman DT, eds. The shoulder. 2nd ed. Philadelphia, PA: W.B. Saunders; 1998. p.1283-307.
  6. Amri A, Yukata K, Nakai S, Hara M, Yamanaka I, Hamawaki J. Spontaneous resorption of calcification at the long head of the biceps tendon. Shoulder Elbow 2015;7:190-2. https://doi.org/10.1177/1758573214567559
  7. Cho NS, Rhee YG. Calcification in superior glenoid labrum of the shoulder: a case report. J Shoulder Elbow Surg 2007;16:e35-7.
  8. Kim KC, Rhee KJ, Shin HD, Kim YM. A SLAP lesion associated with calcific tendinitis of the long head of the biceps brachii at its origin. Knee Surg Sports Traumatol Arthrosc 2007;15:1478-81. https://doi.org/10.1007/s00167-007-0323-y
  9. Ji JH, Shafi M, Kim WY. Calcific tendinitis of the biceps-labral complex: a rare cause of acute shoulder pain. Acta Orthop Belg 2008;74:401-4.
  10. Ogon P, Suedkamp NP, Jaeger M, Izadpanah K, Koestler W, Maier D. Prognostic factors in nonoperative therapy for chronic symptomatic calcific tendinitis of the shoulder. Arthritis Rheum 2009;60:2978-84. https://doi.org/10.1002/art.24845
  11. Cho NS, Lee BG, Rhee YG. Radiologic course of the calcific deposits in calcific tendinitis of the shoulder: does the initial radiologic aspect affect the final results. J Shoulder Elbow Surg 2010;19:267-72. https://doi.org/10.1016/j.jse.2009.07.008
  12. Verstraelen FU, Fievez E, Janssen L, Morrenhof W. Surgery for calcifying tendinitis of the shoulder: A systematic review. World J Orthop 2017;8:424-30. https://doi.org/10.5312/wjo.v8.i5.424
  13. Krasny C, Enenkel M, Aigner N, Wlk M, Landsiedl F. Ultrasound-guided needling combined with shock-wave therapy for the treatment of calcifying tendonitis of the shoulder. J Bone Joint Surg Br 2005;87:501-7.