OCAD MSK

History

57M acute onset pain and limited range of motion 1 week ago, no trauma

Figure 1 for case calcium hydroxyapatite crystal deposition disease ( RID3594 ) — Figure 1

Figure 2 for case calcium hydroxyapatite crystal deposition disease ( RID3594 ) — Figure 2

Figure 3 for case calcium hydroxyapatite crystal deposition disease ( RID3594 ) — Figure 3

Discussion

Referred by sports orthopedist requesting evaluation of suspected rotator cuff tear. Not the most likely clinical diagnosis, given the recent acute atraumatic onset of pain and LROM in someone with pre-existing quiescent insertional supraspinatus calcific tendinosis (white arrow) and infraspinatus peritendinitis (red arrow) with overlying subdeltoid calcific bursitis (slide 3). Now the supraspinatus deposit is much larger and has eroded into bone with geographic marrow edema, as well as overlying subdeltoid bursal inflammation.

Diagnosis

calcium hydroxyapatite crystal deposition disease ( RID3594 )

Your Name, MD PhD

Courtesy

Home More