Xue Xing-He, Feng Zhen-Hua, Li Zhen-Xing, Pan Xiao-Yun
Department of Orthopedic Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Department of Orthopedic Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China -
J Sports Med Phys Fitness. 2018 Jul-Aug;58(7-8):1090-1095. doi: 10.23736/S0022-4707.17.07080-3. Epub 2017 Feb 22.
Calcifying tendinitis of the shoulder is characterized with the formation of the calcium deposits in tendon, which mostly involves supraspinatus. The formation of the calcium deposits may be related to the excessive mechanical stimulation and non-tenocytes generation from tendon stem cell. The disease is usually associated with pain, especially when activating the shoulder. We describe one case of calcifying tendinitis involving the long head of the biceps brachii and superior labrum. The related literature and researches are also reviewed. After reviewing the past articles, there are no similar cases of calcification involving the long head of the biceps brachii and superior labrum. The diagnosis and treatment scheme may be similar with Calcifying tendinitis of the supraspinatus. The differential diagnosis of calcification involving the long head of the biceps brachii and superior labrum and glenoid cavity fracture is very important. Calcifying tendinitis involving the long head of the biceps brachii and superior labrum is rare and the diagnosis need to rule out fractures. The surgical treatment of arthroscopy is effective and relieves the symptoms quickly, but may not be the first choice.
肩部钙化性肌腱炎的特征是在肌腱中形成钙沉积，其中大部分累及冈上肌。钙沉积的形成可能与过度的机械刺激以及肌腱干细胞产生的非肌腱细胞有关。该疾病通常伴有疼痛，尤其是在活动肩部时。我们描述了一例累及肱二头肌长头和上盂唇的钙化性肌腱炎病例。同时也回顾了相关文献和研究。在查阅以往文章后，未见有类似累及肱二头肌长头和上盂唇钙化的病例。其诊断和治疗方案可能与冈上肌钙化性肌腱炎相似。对累及肱二头肌长头和上盂唇的钙化与关节盂骨折进行鉴别诊断非常重要。累及肱二头肌长头和上盂唇的钙化性肌腱炎较为罕见，诊断时需要排除骨折。关节镜手术治疗有效且能迅速缓解症状，但可能不是首选。
