Journal of Ultrasound

, Volume 21, Issue 4, pp 351–354 | Cite as

Migration of calcium deposit over the biceps brachii muscle, a rare complication of calcific tendinopathy: Ultrasound image and treatment

  • Giulio CoccoEmail author
  • Vincenzo Ricci
  • Andrea Boccatonda
  • Giovanni Iannetti
  • Cosima Schiavone
Case Report


Calcific tendinopathy is characterized by the deposition of calcium, mostly hydroxyapatite crystals, in tendons. Women are more frequently affected than men, with prevalence in the fourth and fifth decades of life. This condition has been reported between 2.5 and 7.5% of healthy shoulders in adults, but other tendons may also be affected. A complication of this condition is the migration of calcium deposits from tendons, usually the supraspinatus, into the subacromial–subdeltoid bursa. We reported a rare complication of calcific tendinopathy, that is, calcium deposits migrated from the long head of the biceps tendon over the proximal tract of the biceps brachii muscle.


Shoulder Ultrasound Tendon Calcific tendinopathy 


La tendinopatia calcifica è caratterizzata dalla deposizione di calcio, per lo più cristalli di idrossiapatite, nei tendini. Le donne sono più frequentemente colpite rispetto agli uomini, con una prevalenza nella quarta e quinta decade di vita. Questa condizione è stata riportata tra il 2,5% e il 7,5% delle spalle sane negli adulti, ma può interessare anche altri tendini. Una complicanza di questa condizione è la migrazione dei depositi di calcio dai tendini, di solito dal tendine sovraspinato alla borsa sub-acromion-deltoidea. Abbiamo riportato un caso di tendinopatia calcifica migrata dal tendine capo lungo del bicipite brachiale sopra al tratto prossimale del muscolo bicipite brachiale, rara complicanza della tendinopatia calcifica.



This study was not funded.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from the patient included in the case report.


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Copyright information

© Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2018

Authors and Affiliations

  • Giulio Cocco
    • 1
    Email author
  • Vincenzo Ricci
    • 2
  • Andrea Boccatonda
    • 1
  • Giovanni Iannetti
    • 1
  • Cosima Schiavone
    • 1
  1. 1.Unit of Ultrasound in Internal Medicine, Department of Medicine and Science of Aging“G. d’Annunzio” UniversityChietiItaly
  2. 2.Department of Biomedical and Neuromotor Science, Physical and Rehabilitation Medicine UnitIRCCS Rizzoli Orthopaedic InstituteBolognaItaly

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