Clinical and Radiological Follow-Up in Giant Calcific Biceps Tenosynovitis

Congress:

ESSR 2017

Poster Number:

P-0173

Type:

Educational Poster

Keywords:

Tissue characterisation, Education, Teleradiology, MR, Musculoskeletal system, Musculoskeletal soft tissue

Authors:

I. Bayram, E. Erturer; Istanbul/TR

DOI:

10.1594/essr2017/P-0173

DOI-Link:

https://dx.doi.org/10.1594/essr2017/P-0173

Fig. 1: A-P X-ray image of the calcific lesion

Fig. 2: Coronal Pd fat-sat MRI image of the calcific mass in biceps tract

Fig. 3: In axial T1 sequences, calcified lesions can be seen

Learning objectives

1) Present a one-year follow-up in terms of clinical and radiological aspects with giant calcified biceps tendinitis 2) Discuss the differential diagnosis

Background

Biceps tendinitis is inflammation of the tendon around the long head of the biceps muscle. Biceps tendinosis is caused by degeneration of the tendon from athletics requiring overhead motion or from the normal aging process (1). Calcific tendinitis is a painful condition related to deposition of hydroxyapatite crystals; it favors large joints. The shoulder, specifically the tendons of the rotator cuff and the insertion of the long head of the biceps on the superior glenoid rim, is a well-recognized location for this abnormality. Calcific tendinitis...

Imaging findings OR Procedure Details

A fifty-five-year-old female was referred to our clinic for a checkup chest X-ray. Radiopaque soft tissue lesions in the right humerus region were incidentally seen on that X-ray. It was learned that the patient had pain in her right arm when she was pushing a heavy object 15 years ago, after a while her pain passed and there were no complaints as much as the day. On her clinical examination, a deeply palpated semi-moving, solid mass was found in the middle and medial side of...

Conclusion

Biceps tenosynovitis is an inflammatory pathology observed in the biceps tendon or sheath and may be caused by trauma, arthritis or infection. It is very rare to reach the presented dimensions. Especially in chronic cases, the complaints of the patient determine the treatment process.

References

1) Catherine A. Churgay, Diagnosis and treatment ofbicepstendinitisand tendinosis, Am Fam Physician.2009 Sep 1;80(5):470-6. 2)Resnick D, Niwayama G. Diagnosis of bone and joint disorders, 2nd ed. Philadelphia: Saunders, 1988: 1733-1 764 3) MosleyHF. Shoulder lesions, 3rd ed. Baltimore: Williams & Wilkins, 1969:88-118 4)Vigario GD, Keats TE. Localization of calcific deposits in the shoulder. AJR 1970108:806-811 5)Rowe CR. Calcific tendinitis. In: AAOS Instructional Course Lectures, vol. 34. Chicago: American Academy of Orthopaedic Surgeons, 1985: 196-1 98 6) Lapidus PW, Guidotti FP. Common shoulder lesions-report of 493...

Personal Information

Irem Bayram, Department of Radiology, Liv Hospital Ulus, Ahmet Adnan Saygun Cad. Besiktas/ Istanbul/ Turkey Erden Erturer, Department of Orthopedics, Liv Hospital Ulus, Ahmet Adnan Saygun Cad. Besiktas/ Istanbul/ Turkey