Abstract:
BACKGROUND AND OBJECTIVE:Calcific tendinitis is commonly found in the rotator cuff; however, it is very rare in the long biceps tendon (LBT). Furthermore, calcific tendinitis involving the LBT in the hemiplegic shoulder after a stroke has not been previously reported. MATERIALS AND METHOD:We present a case of a 63-year-old man who suffers from a stroke and atypical calcific tendinitis involving the LBT as a rare cause of hemiplegic shoulder pain. The patient had experienced intractable pain in the right hemiplegic shoulder for more than 6 months with a waxing and waning course. Marked tenderness to palpation was present at the biceps tendon adjacent to the bicipital groove. Ultrasound (US) and computed tomography revealed a long, blade-shaped, circumscribed, cloudy and irregular dense calcific deposit in the LBT site, distal to the bicipital groove. The patient underwent US-guided corticosteroid injection at the posterior intra-articular joint. The symptoms failed to resolve; we injected an additional corticosteroid into the biceps tendon sheath adjacent to the calcific deposit. This procedure provided satisfactory relief, and follow-up US revealed mild diminution of the calcification through absorption. CONCLUSION:This is the first report on atypical calcific tendinitis involving the LBT causing hemiplegic shoulder pain after a stroke.
journal_name
J Back Musculoskelet Rehabiljournal_title
Journal of back and musculoskeletal rehabilitationauthors
Cho JH,Jung SH,Yang SM,Park Hdoi
10.3233/BMR-171037subject
Has Abstractpub_date
2019-01-01 00:00:00pages
355-359issue
2eissn
1053-8127issn
1878-6324pii
BMR171037journal_volume
32pub_type
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