Intraosseous migration of tendinous calcifications: cortical erosions, subcortical migration and extensive intramedullary diffusion, a SIMS series.

Details

Serval ID
serval:BIB_427C05E5126F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Intraosseous migration of tendinous calcifications: cortical erosions, subcortical migration and extensive intramedullary diffusion, a SIMS series.
Journal
Skeletal Radiology
Author(s)
Malghem J., Omoumi P., Lecouvet F., Vande Berg B.
ISSN
1432-2161 (Electronic)
ISSN-L
0364-2348
Publication state
Published
Issued date
10/2015
Peer-reviewed
Oui
Volume
44
Number
10
Pages
1403-1412
Language
english
Abstract
Calcium hydroxyapatite crystal deposition is a common disorder, which sometimes causes acute pain as calcifications dissolve and migrate into adjacent soft tissue. Intraosseous calcium penetration has also been described. We illustrate the appearance of these lesions using a series of 35 cases compiled by members of the French Society of Musculoskeletal Imaging (Société d'Imagerie Musculo-Squelettique, SIMS). The first group in our series (7 cases) involved calcification-related cortical erosions of the humeral and femoral diaphyses, in particular at the pectoralis major and gluteus maximus insertions. A second group (28 cases) involved the presence of calcium material in subcortical areas. The most common site was the greater tubercle of the humerus, accompanying a calcifying tendinopathy of the supraspinatus. In addition, an extensive intramedullary diffusion of calcium deposits was observed in four of these cases, associated with cortical erosion in one case and subcortical lesions in three cases. Cortical erosions and intraosseous migration of calcifications associated with calcific tendinitis may be confused with neoplasm or infection. It is important to recognize atypical presentations of hydroxyapatite deposition to avoid unnecessary investigation or surgery.
Pubmed
Web of science
Create date
12/06/2015 10:26
Last modification date
20/08/2019 13:45
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