Mascarenhas V V, Morais F, Marques H, Guerra A, Carpinteiro E, Gaspar A
Acta Reumatol Port. 2015 Oct-Dec;40(4):378-83.
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. The authors report two cases of symptomatic calcifying tendinitis involving the infraspinatus tendon with cortical erosion with correlative radiographic, 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.
钙化性肌腱炎最常发生于肩袖肌腱,尤其累及冈上肌腱附着处,且常无症状。钙化性肌腱炎继发的皮质侵蚀已在多个部位有报道,包括肩袖肌腱。作者报告了2例有症状的钙化性肌腱炎累及冈下肌腱并伴有皮质侵蚀的病例,以及相关的影像学(X线及磁共振成像)表现。文中讨论了在评估肱骨溶骨性病变时考虑这一诊断的重要性,以及钙化性肌腱炎和皮质侵蚀的影像学鉴别诊断。