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Joint Bone Spine
Volume 71, n° 6
pages 592-594 (novembre 2004)
Doi : 10.1016/j.jbspin.2004.05.016
Received : 23 February 2004 ;  accepted : 5 May 2004
Atypical pattern of acute severe shoulder pain: contribution of sonography
 

Bertrand Lecoq a, , Régis Levasseur a, Luc Fournier b, Gérard Schmutz b, Christian Marcelli a
a Rheumatology Department, Caen Teaching Hospital, Avenue de la côte de Nacre, 14033 Caen cedex, France 
b Radiology Department, Caen Teaching Hospital, Avenue de la côte de Nacre, 14033 Caen cedex, France 

*Corresponding author. Tel.: +33-6-15-12-23-93.
Abstract

A patient presented with an atypical pattern of acute severe shoulder pain. Sonography elucidated the mechanism of the pain and allowed effective treatment. The patient was unable not only to move her shoulder but also to flex and to extend her elbow. Sonography showed a calcific deposit in the subscapularis tendon with local edema displacing the long head of the biceps tendon out of the bicipital groove. Local injection of a glucocorticoid under ultrasonographic control was followed within 7 days by subsidence of the subscapularis tendon edema and by a return of the long head of the biceps tendon to its normal position in the bicipital groove.

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Keywords : Calcifications, Shoulder, Sonography




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