Calcific Tendinitis of the Supraspinatus Tendon in Children

Bittmann, Stefan

doi:10.1055/s-2005-836383

Cited by 8 publications

(2 citation statements)

References 7 publications

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“…If conservative treatment fails, fluoroscopy-guided needle aspiration or arthroscopic surgery is typically considered. In the previous reports of pediatric calcific tendinitis of the rotator cuff, a 7-year-old boy [ 7 ] was treated conservatively, a 7-year-old girl received arthroscopic treatment [ 6 ], and a 13-year-old girl and 3-year-old boy were managed conservatively with nonsteroidal anti-inflammatory drugs [ 4 , 5 ]. These reports imply that conservative treatment other may be sufficient for pediatric calcific tendinitis of the rotator cuff.…”

Section: Discussionmentioning

confidence: 99%

Calcific Tendinitis of the Supraspinatus Tendon in an Infant

Wako

Ichikawa

Koyama

et al. 2020

Case Reports in Orthopedics

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Calcific tendinitis of the supraspinatus tendon in adults is common, but it is extremely rare in children. This report presents an unusual case of a 2-year-old boy with calcific tendinitis of the supraspinatus tendon. A mother brought her 2-year-old son to our hospital with a fever and severe left shoulder pain. Examination revealed a temperature of 38.6°C accompanied by a swollen shoulder with extreme pain and restricted movement. The radiographs of his left shoulder showed a large radio-opacity in the subacrominal region, and magnetic resonance imaging showed an elongated T1 and T2 hypointense signal above the supraspinatus tendon. Although these images were suggestive of calcific tendinitis of the supraspinatus tendon, we performed an open biopsy and resection in order to differentiate between a suspected diagnosis of calcific tendinitis, which is incredibly rare within pediatric patients, and infection or a soft tissue tumor. Finally, calcific tendinitis of the supraspinatus tendon was diagnosed by pathologic experiment and successfully treated, with complete resolution of pain and movement. Because only four other pediatric cases of calcific tendinitis of the supraspinatus tendon have ever been reported, there is a lack of information on the diagnostic process, management, and treatment of such a condition in young patients. Calcific tendinitis of the supraspinatus tendon still should be considered when encountering cases with typical findings even if the patient is a child.

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Section: Discussionmentioning

confidence: 99%

Calcific Tendinitis of the Supraspinatus Tendon in an Infant

Wako

Ichikawa

Koyama

et al. 2020

Case Reports in Orthopedics

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“…Radiology department diagnostic ultrasound evaluation of supraspinatus tendon calcification with subacromial impingement syndrome has been reported to be more specific (95% to 96%) than sensitive (71% to 81%) in adult patients, and supraspinatus tendon calcification with subacromial impingement syndrome diagnosed through ultrasonography has been reported in young athletes who perform overhead sports such as tennis, volleyball, and swimming [2-8]. Supraspinatus tendon calcification has also been reported to cause shoulder pain in children [9]. Undiagnosed and untreated supraspinatus tendon calcification with subacromial impingement syndrome can progress to severe forms of subacromial and subdeltoid bursitis, and even more serious surgical problems such as bicipital tendonitis with rupture of the long head of the biceps tendon, adhesive capsulitis, and rotator cuff tears [5-7].…”

Section: Introductionmentioning

confidence: 99%

Emergency department diagnosis of supraspinatus tendon calcification and shoulder impingement syndrome using bedside ultrasonography

et al. 2013

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A 45-year-old woman presented to the emergency department with a 2-day history of severe left shoulder pain made worse with movement. Emergency department (ED) bedside point-of-care static and dynamic ultrasound examination of the supraspinatus tendon revealed supraspinatus tendon calcification with impingement syndrome, and the patient was urgently referred to orthopedics after ED pain control was achieved. Bedside shoulder and supraspinatus tendon evaluation with static and dynamic ultrasonography can assist in the rapid diagnosis of supraspinatus tendon calcification and supraspinatus tendon impingement syndrome in the emergency department.

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