Calcific tendinitis of the rotator cuff

Case contributed by Dr Magdalena Chmiel-Nowak

Presentation

Shoulder pain. No prior trauma.

Patient Data

Age: 50 years
Gender: Female

Multiple calcific deposits, max 7 mm in length, are visible within the tendons of the subscapularis, supraspinatus and infraspinatus muscles, in keeping with calcific tendinitis. Supraspinatus calcifications protrude into the subacromial-subdeltoid bursa, without signs of bursitis.

Degenerative changes in the acromioclavicular joint, with some compression of the supraspinatus tendon.

Case Discussion

The accuracy of MRI in detecting calcifications, especially small-sized, is limited. T2* gradient-echo sequence enhances their visibility, as calcific deposits produce signal drop/blooming on these images.

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Case information

rID: 76628
Published: 24th Apr 2020
Last edited: 28th Jul 2020
Inclusion in quiz mode: Included

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