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Supraspinatus Intramuscular Calcified Hematoma or Necrosis Associated with Tendon Tear.

Lädermann A, Genevay M, Abrassart S, Schwitzguébel AJ - Case Rep Orthop (2015)

Bottom Line: We describe a patient with voluminous calcified mass entrapped in supraspinatus muscle associated with corresponding tendon tear.Discussion and Conclusion.This association has never been described.

View Article: PubMed Central - PubMed

Affiliation: Division of Orthopaedics and Trauma Surgery, La Tour Hospital, rue J.-D. Maillard 3, 1217 Meyrin, Switzerland ; Faculty of Medicine, University of Geneva, rue Michel-Servet 1, 1211 Geneva, Switzerland ; Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, rue Gabrielle-Perret-Gentil 4, 1211 Geneva, Switzerland.

ABSTRACT
Introduction. Rotator cuff intramuscular calcification is a rare condition usually caused by heterotopic ossification and myositis ossificans. Case Presentation. We describe a patient with voluminous calcified mass entrapped in supraspinatus muscle associated with corresponding tendon tear. Histological examination corresponded to a calcified hematoma or necrosis. Patient was surgically managed with open excision of the calcified hematoma and rotator cuff arthroscopic repair. At 6 months, supraspinatus muscle was healed, and functional outcome was good. Discussion and Conclusion. We hypothesized that supraspinatus intramuscular calcified hematoma was responsible for mechanical stress on the tendon. This association has never been described.

No MeSH data available.


Related in: MedlinePlus

Supraspinatus muscle six months after surgery radiologic evaluation. MRA showed a good healing of the supraspinatus muscle. However, a Goutallier stage 2 fatty infiltration remains.
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fig3: Supraspinatus muscle six months after surgery radiologic evaluation. MRA showed a good healing of the supraspinatus muscle. However, a Goutallier stage 2 fatty infiltration remains.

Mentions: Follow-up included 2 weeks of immobilization in 30° abduction and then passive motion in all directions. Six months after surgery, the patient was satisfied of her condition, with a complete shoulder range of motion recovery, a visual analog scale score for pain of 4 on a scale of 10, a Single Assessment Numeric Evaluation score of 40 [19], and a Constant Shoulder Score of 66 [20]. MRA showed a supraspinatus muscle with Goutallier stage 2 fatty infiltration [22], as well as the absence of “fish backbone sign” [23] or recurrence of calcified mass (Figure 3).


Supraspinatus Intramuscular Calcified Hematoma or Necrosis Associated with Tendon Tear.

Lädermann A, Genevay M, Abrassart S, Schwitzguébel AJ - Case Rep Orthop (2015)

Supraspinatus muscle six months after surgery radiologic evaluation. MRA showed a good healing of the supraspinatus muscle. However, a Goutallier stage 2 fatty infiltration remains.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4563087&req=5

fig3: Supraspinatus muscle six months after surgery radiologic evaluation. MRA showed a good healing of the supraspinatus muscle. However, a Goutallier stage 2 fatty infiltration remains.
Mentions: Follow-up included 2 weeks of immobilization in 30° abduction and then passive motion in all directions. Six months after surgery, the patient was satisfied of her condition, with a complete shoulder range of motion recovery, a visual analog scale score for pain of 4 on a scale of 10, a Single Assessment Numeric Evaluation score of 40 [19], and a Constant Shoulder Score of 66 [20]. MRA showed a supraspinatus muscle with Goutallier stage 2 fatty infiltration [22], as well as the absence of “fish backbone sign” [23] or recurrence of calcified mass (Figure 3).

Bottom Line: We describe a patient with voluminous calcified mass entrapped in supraspinatus muscle associated with corresponding tendon tear.Discussion and Conclusion.This association has never been described.

View Article: PubMed Central - PubMed

Affiliation: Division of Orthopaedics and Trauma Surgery, La Tour Hospital, rue J.-D. Maillard 3, 1217 Meyrin, Switzerland ; Faculty of Medicine, University of Geneva, rue Michel-Servet 1, 1211 Geneva, Switzerland ; Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, rue Gabrielle-Perret-Gentil 4, 1211 Geneva, Switzerland.

ABSTRACT
Introduction. Rotator cuff intramuscular calcification is a rare condition usually caused by heterotopic ossification and myositis ossificans. Case Presentation. We describe a patient with voluminous calcified mass entrapped in supraspinatus muscle associated with corresponding tendon tear. Histological examination corresponded to a calcified hematoma or necrosis. Patient was surgically managed with open excision of the calcified hematoma and rotator cuff arthroscopic repair. At 6 months, supraspinatus muscle was healed, and functional outcome was good. Discussion and Conclusion. We hypothesized that supraspinatus intramuscular calcified hematoma was responsible for mechanical stress on the tendon. This association has never been described.

No MeSH data available.


Related in: MedlinePlus