DOI QR코드

DOI QR Code

Arthroscopic Treatment for Calcific Tendinitis of Origin of Long Head of Triceps

  • Kim, Woo (Department of Orthopaedic Surgery, Nalgae Hospital) ;
  • Song, Byung Wook (Department of Orthopaedic Surgery, Nalgae Hospital) ;
  • Rhie, Tae-Yon (Department of Orthopaedic Surgery, Nalgae Hospital) ;
  • Kwon, Jieun (Department of Orthopaedic Surgery, National Police Hospital)
  • Received : 2016.01.07
  • Accepted : 2016.04.23
  • Published : 2016.12.31

Abstract

A 55-year-old female experienced acute left shoulder pain without specific trauma. Radiography showed calcific deposits in the inferior part of the glenoid fossa. Magnetic resonance arthrography showed calcific deposits in the origin of the long head of triceps brachii muscle. Conservative treatment failed to resolve the symptoms; therefore, arthroscopic surgery was performed. The patient experienced immediate and dramatic pain relief, and normal shoulder motion was demonstrated 1 year after surgery. In conclusion, although rare, calcific tendinitis of the triceps brachii muscle, which causes shoulder pain, should be included in the differential diagnosis of acute shoulder pain. Arthroscopic surgery is a treatment option for chronic cases and those resistant to conservative treatment.

Keywords

References

  1. Speed CA, Hazleman BL. Calcific tendinitis of the shoulder. N Engl J Med. 1999;340(20):1582-4. https://doi.org/10.1056/NEJM199905203402011
  2. Faure G, Daculsi G. Calcified tendinitis: a review. Ann Rheum Dis. 1983;42 Suppl 1:49-53. https://doi.org/10.1136/ard.42.Suppl_1.49
  3. Goldman AB. Calcific tendinitis of the long head of the biceps brachii distal to the glenohumeral joint: plain film radiographic findings. AJR Am J Roentgenol. 1989;153(5):1011-6. https://doi.org/10.2214/ajr.153.5.1011
  4. 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(3):401-4.
  5. Mayayo Sinues E, Soriano Guillen AP, Vela Marin AC, Martinez Perez B. Bilateral calcifying tendinitis of the long tendon of the biceps associated with a SLAP lesion. Reumatol Clin. 2010;6(3):145-7. https://doi.org/10.1016/j.reuma.2009.03.006
  6. Gartner J, Simons B. Analysis of calcific deposits in calcifying tendinitis. Clin Orthop Relat Res. 1990;(254):111-20.
  7. Arroll B, Goodyear-Smith F. Corticosteroid injections for painful shoulder: a meta-analysis. Br J Gen Pract. 2005;55(512):224-8.
  8. Galletti S, Magnani M, Rotini R, et al. The echo-guided treatment of calcific tendinitis of the shoulder. Chir Organi Mov. 2004;89(4):319-23.
  9. Mouzopoulos G, Stamatakos M, Mouzopoulos D, Tzurbakis M. Extracorporeal shock wave treatment for shoulder calcific tendonitis: a systematic review. Skeletal Radiol. 2007;36(9):803-11. https://doi.org/10.1007/s00256-007-0297-3
  10. Ioppolo F, Tattoli M, Di Sante L, et al. Clinical improvement and resorption of calcifications in calcific tendinitis of the shoulder after shock wave therapy at 6 months' follow-up: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2013;94(9):1699-706. https://doi.org/10.1016/j.apmr.2013.01.030