Abstract
Calcifying tendinitis occurs most commonly in the rotator cuff tendons, particularly involving the supraspinatus tendon insertion, and is often asymptomatic. Cortical erosion secondary to calcifying tendinitis has been reported in multiple locations, including in the rotator cuff tendons. We present a pathologically proven case of symptomatic calcifying tendinitis involving the infraspinatus tendon with cortical erosion with correlative radiographic, CT, and MR findings. The importance of considering this diagnosis when evaluating lytic lesions of the humerus and the imaging differential diagnosis of calcifying tendinitis and cortical erosion are discussed.
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Uhthoff HK, Loehr JW. Calcific Tendinopathy of the Rotator Cuff: Pathogenesis, Diagnosis, and Management. J Am Acad Orthop Surg 1997; 5(4):183–191.
Uhthoff HK, Loehr JW. Calcifying Tendinitis. In: Rockwood CA Jr, Matsen FA III, editors. The shoulder, Volume 2. Philadelphia: Saunders, 1998:989–1008.
Chadwick CJ. Tendinitis of the pectoralis major insertion with humeral lesions: a report of two cases. J Bone Joint Surg 1989; 71-B:816–818.
Chow HY, Recht MP, Schils J, Calabrese LH. Acute calcific tendinitis of the hip: case report with magnetic resonance imaging findings. Arthritis Rheum 1997 May; 40(5):974–977.
Durr HR, Lienemann A, Silbernagi H, Nerlich A, Refior HJ. Acute calcific tendinitis of the pectoralis major insertion associated with cortical bone erosion. Eur Radiol 1997; 7:1215–1217.
Fritz P, Bardin T, Laredo JD, et al. Paradiaphyseal calcific tendinitis with cortical bone erosion. Arthritis Rheum 1994; 37:718–723.
Hayes CW, Rosenthal DI, Plata MJ, Hudson TM. Calcific tendinitis in unusual sites associated with cortical bone erosion. AJR 1987; 149:967–970.
Hottat N, Fumiere E, Delcour C. Calcific tendinitis of the gluteus maximus tendon: CT findings. Eur Radiol 1999; 9:1104–1106.
Kraemer EJ and El-Khoury GY. Atypical calcific tendinitis with cortical erosions. Skeletal Radiol 2000; 29:690–696.
Mizutani H, Ohba S, Mizutani M, Otake S, Otsuka T, Nakamura T. Calcific tendinitis of the gluteus maximus tendon with cortical bone erosion: CT findings. J Comput Assist Tomogr 1994 Mar-Apr; 18(2):310–312
Thomason HC 3rd, Bos GD, Renner JB. Calcifying tendinitis of the gluteus maximus. Am J Orthop 2001; 30(10):757–758.
Thornton MJ, Harries SR, Hughes PM, Whitehouse R, Carradine S. Calcific tendinitis of the gluteus maximus tendon with abnormalities of the cortical bone. Clin Radiol 1998; 53:296–301.
Yang I, Hayes CW, Biermann JS. Calcific tendinitis of the gluteus medius tendon with bone marrow edema mimicking metastatic disease. Skeletal Radiol 2002; 31(6):359–361.
Flemming DJ, Murphey MD, Shekitka KM, et al. Osseous involvement in calcific tendinitis: a retrospective review of 50 cases. AJR 2003; 181:965–972.
Ebenbichler GR, Erdogmus CB, Resh KL, et al. Ultrasound therapy for calcific tendinitis of the shoulder. N Engl J Med 1999;340:1533–1538.
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An erratum to this article can be found at http://dx.doi.org/10.1007/s00256-004-0887-2
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Chan, R., Kim, D.H., Millett, P.J. et al. Calcifying tendinitis of the rotator cuff with cortical bone erosion. Skeletal Radiol 33, 596–599 (2004). https://doi.org/10.1007/s00256-004-0770-1
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DOI: https://doi.org/10.1007/s00256-004-0770-1