Yukata Kiminori, Suthar Ashish, Suetomi Yutaka, Yamazaki Kazuhiro, Doi Kazuteru, Fujii Hiroshi
Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Yamaguchi, Japan.
Case Rep Orthop. 2020 Oct 10;2020:8895801. doi: 10.1155/2020/8895801. eCollection 2020.
A 45-year-old man presented with severe left shoulder pain that was not associated with trauma. Plain radiography with the arm in an elevated position and ultrasonography demonstrated calcium deposits at the anterior acromial insertion site of left deltoid muscle. Conservative management could successfully relieve pain. At the 3-year follow-up, the calcification completely disappeared. To the best of our knowledge, calcium deposits at the acromial insertion site of the deltoid have not been reported in the literature. Clinicians who suspect calcific tendinitis but do not observe calcification around the rotator cuff should carefully palpate and examine other sites, such as the deltoid origin, and use ultrasonography or radiography.
一名45岁男性出现严重的左肩疼痛,与外伤无关。手臂抬高位的X线平片及超声检查显示,左三角肌肩峰前部附着点处有钙沉积。保守治疗可成功缓解疼痛。在3年的随访中,钙化完全消失。据我们所知,三角肌肩峰附着点处的钙沉积在文献中尚未见报道。怀疑钙化性肌腱炎但在肩袖周围未观察到钙化的临床医生,应仔细触诊和检查其他部位,如三角肌起点,并使用超声或X线检查。