A PATIENT HAVING CALCIFIC TENDINITIS WITH INTRAOSSEAL PENETRATION, DIFFERENTIAL DIAGNOSIS WITH OSTEOMYELITIS-MALIGNITY OF THE PROXIMAL HUMERUS


Özer M., Özşahin M. K., Gürçınar M. G., Celayir A., Aydın N.

Türkiye Klinikleri Journal of Case Reports, cilt.31, sa.4, ss.145-149, 2023 (TRDizin)

Özet

Calcific tendinitis is a tendinopathy characterized by the formation of calcium deposits within or around the rotator cuff tendons in the shoulder, leading to severe pain. It most commonly occurs in the supraspinatus and infraspinatus tendons due to the accumulation of calcium hydroxyapatite crystals.1 Diagnostic tools such as radiography, MRI, and ultrasound are useful for establishing the diagnosis.

Intraosseous penetration is a rare condition. Cases of intraosseous penetration of calcific tendinitis have been reported in the insertions of the pectoralis major and gluteus maximus in the humerus and femur. The region most commonly affected by intraosseous penetration is the greater tuberosity of the humerus.

In cases of intraosseous penetration, differential diagnosis should consider malignancies and osteomyelitis.