Skip to main content
Top
Published in: The Ultrasound Journal 1/2013

Open Access 01-12-2013 | Case report

Emergency department diagnosis of supraspinatus tendon calcification and shoulder impingement syndrome using bedside ultrasonography

Authors: David C Riley, Martha Kaufman, Theresa M Ward, Yesenia Acevedo, Rodney Guerra, Adenike Folorunsho

Published in: The Ultrasound Journal | Issue 1/2013

Login to get access

Abstract

A 45-year-old woman presented to the emergency department with a 2-day history of severe left shoulder pain made worse with movement. Emergency department (ED) bedside point-of-care static and dynamic ultrasound examination of the supraspinatus tendon revealed supraspinatus tendon calcification with impingement syndrome, and the patient was urgently referred to orthopedics after ED pain control was achieved. Bedside shoulder and supraspinatus tendon evaluation with static and dynamic ultrasonography can assist in the rapid diagnosis of supraspinatus tendon calcification and supraspinatus tendon impingement syndrome in the emergency department.
Appendix
Available only for authorised users
Literature
1.
go back to reference Speed CA, Hazleman BL: Calcific tendinitis of the shoulder. N Engl J Med 1999,340(20):1582–1584. 10.1056/NEJM199905203402011CrossRefPubMed Speed CA, Hazleman BL: Calcific tendinitis of the shoulder. N Engl J Med 1999,340(20):1582–1584. 10.1056/NEJM199905203402011CrossRefPubMed
2.
go back to reference Neer CS II: Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 1972,54(1):41–50.PubMed Neer CS II: Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 1972,54(1):41–50.PubMed
3.
go back to reference Neer CS II: Impingement lesions. Clin Orthop Relat Res 1983, 173: 70–77.PubMed Neer CS II: Impingement lesions. Clin Orthop Relat Res 1983, 173: 70–77.PubMed
4.
go back to reference Hawkins RJ, Kennedy JC: Impingement syndrome in athletes. Am J Sports Med 1980,8(3):151–158. 10.1177/036354658000800302CrossRefPubMed Hawkins RJ, Kennedy JC: Impingement syndrome in athletes. Am J Sports Med 1980,8(3):151–158. 10.1177/036354658000800302CrossRefPubMed
5.
go back to reference Farin PU, Jaroma H, Harju A, Soimakallio S: Shoulder impingement syndrome: sonographic evaluation. Radiology 1990,176(3):845–849.CrossRefPubMed Farin PU, Jaroma H, Harju A, Soimakallio S: Shoulder impingement syndrome: sonographic evaluation. Radiology 1990,176(3):845–849.CrossRefPubMed
6.
go back to reference Van Holsbeeck E, Declercq G, Derijcke J, Martens M, Verstreken J, Fabry G: Shoulder impingement syndrome. Acta Orthop Belg 1991,57(1):25–29.PubMed Van Holsbeeck E, Declercq G, Derijcke J, Martens M, Verstreken J, Fabry G: Shoulder impingement syndrome. Acta Orthop Belg 1991,57(1):25–29.PubMed
7.
go back to reference Bigliani LU, Levine WN: Subacromial impingement syndrome. J Bone Joint Surg Am 1997,79(12):1854–1868.PubMed Bigliani LU, Levine WN: Subacromial impingement syndrome. J Bone Joint Surg Am 1997,79(12):1854–1868.PubMed
8.
go back to reference Garcia GM, McCord GC, Kumar R: Hydroxyapatite crystal deposition disease. Semin Musculoskelet Radiol 2003,7(3):187–193.CrossRefPubMed Garcia GM, McCord GC, Kumar R: Hydroxyapatite crystal deposition disease. Semin Musculoskelet Radiol 2003,7(3):187–193.CrossRefPubMed
9.
go back to reference Bittmann S: Calcific tendinitis of the supraspinatus tendon in children. Klin Padiatr 2006,218(1):45–46. 10.1055/s-2005-836383CrossRefPubMed Bittmann S: Calcific tendinitis of the supraspinatus tendon in children. Klin Padiatr 2006,218(1):45–46. 10.1055/s-2005-836383CrossRefPubMed
10.
go back to reference Jacobson JA: Shoulder US: anatomy, technique, and scanning pitfalls. Radiology 2011,260(1):6–16. 10.1148/radiol.11101082CrossRefPubMed Jacobson JA: Shoulder US: anatomy, technique, and scanning pitfalls. Radiology 2011,260(1):6–16. 10.1148/radiol.11101082CrossRefPubMed
11.
go back to reference Read JW, Perko M: Shoulder ultrasound: diagnostic accuracy for impingement syndrome, rotator cuff tear, and biceps tendon pathology. J Shoulder Elbow Surg 1998,7(3):264–271. 10.1016/S1058-2746(98)90055-6CrossRefPubMed Read JW, Perko M: Shoulder ultrasound: diagnostic accuracy for impingement syndrome, rotator cuff tear, and biceps tendon pathology. J Shoulder Elbow Surg 1998,7(3):264–271. 10.1016/S1058-2746(98)90055-6CrossRefPubMed
12.
go back to reference O'Connor PJ, Rankine J, Gibbon WW, Richardson A, Winter F, Miller JH: Interobserver variation in sonography of the painful shoulder. J Clin Ultrasound 2005,33(2):53–56. 10.1002/jcu.20088CrossRefPubMed O'Connor PJ, Rankine J, Gibbon WW, Richardson A, Winter F, Miller JH: Interobserver variation in sonography of the painful shoulder. J Clin Ultrasound 2005,33(2):53–56. 10.1002/jcu.20088CrossRefPubMed
13.
go back to reference Hearnden A, Desai A, Karmegam A, Flannery M: Extracorporeal shock wave therapy in chronic calcific tendonitis of the shoulder—is it effective? Acta Orthop Belg 2009,75(1):25–31.PubMed Hearnden A, Desai A, Karmegam A, Flannery M: Extracorporeal shock wave therapy in chronic calcific tendonitis of the shoulder—is it effective? Acta Orthop Belg 2009,75(1):25–31.PubMed
14.
go back to reference Gimblett PA, Saville J, Ebrall P: A conservative management protocol for calcific tendinitis of the shoulder. J Manipulative Physiol Ther 1999,22(9):622–627. 10.1016/S0161-4754(99)70023-0CrossRefPubMed Gimblett PA, Saville J, Ebrall P: A conservative management protocol for calcific tendinitis of the shoulder. J Manipulative Physiol Ther 1999,22(9):622–627. 10.1016/S0161-4754(99)70023-0CrossRefPubMed
15.
go back to reference Di Cesare A, Giombini A, Dragoni S, Agnello L, Ripani M, Saraceni VM, Maffulli N: Calcific tendinopathy of the rotator cuff. Conservative management with 434 Mhz local microwave diathermy (hyperthermia): a case study. Disabil Rehabil 2008,30(20–22):1578–1583.CrossRefPubMed Di Cesare A, Giombini A, Dragoni S, Agnello L, Ripani M, Saraceni VM, Maffulli N: Calcific tendinopathy of the rotator cuff. Conservative management with 434 Mhz local microwave diathermy (hyperthermia): a case study. Disabil Rehabil 2008,30(20–22):1578–1583.CrossRefPubMed
16.
go back to reference Comfort TH, Arafiles RP: Barbotage of the shoulder with image-intensified fluoroscopic control of needle placement for calcific tendinitis. Clin Orthop Relat Res 1978, 135: 171–178.PubMed Comfort TH, Arafiles RP: Barbotage of the shoulder with image-intensified fluoroscopic control of needle placement for calcific tendinitis. Clin Orthop Relat Res 1978, 135: 171–178.PubMed
17.
go back to reference Farin PU, Rasanen H, Jaroma H, Harju A: Rotator cuff calcifications: treatment with ultrasound-guided percutaneous needle aspiration and lavage. Skeletal Radiol 1996,25(6):551–554. 10.1007/s002560050133CrossRefPubMed Farin PU, Rasanen H, Jaroma H, Harju A: Rotator cuff calcifications: treatment with ultrasound-guided percutaneous needle aspiration and lavage. Skeletal Radiol 1996,25(6):551–554. 10.1007/s002560050133CrossRefPubMed
18.
go back to reference del Cura JL, Torre I, Zabala R, Legórburu A: Sonographically guided percutaneous needle lavage in calcific tendinitis of the shoulder: short- and long-term results. AJR Am J Roentgenol 2007,189(3):W128-W134. 10.2214/AJR.07.2254CrossRefPubMed del Cura JL, Torre I, Zabala R, Legórburu A: Sonographically guided percutaneous needle lavage in calcific tendinitis of the shoulder: short- and long-term results. AJR Am J Roentgenol 2007,189(3):W128-W134. 10.2214/AJR.07.2254CrossRefPubMed
19.
go back to reference Maugars Y, Varin S, Gouin F, Huguet D, Rodet D, Nizard J, N'Guyen JM, Guillot P, Glémarec J, Passutti N, Berthelot JM: Treatment of shoulder calcifications of the cuff: a controlled study. Joint Bone Spine 2009,76(4):369–377. 10.1016/j.jbspin.2008.10.016CrossRefPubMed Maugars Y, Varin S, Gouin F, Huguet D, Rodet D, Nizard J, N'Guyen JM, Guillot P, Glémarec J, Passutti N, Berthelot JM: Treatment of shoulder calcifications of the cuff: a controlled study. Joint Bone Spine 2009,76(4):369–377. 10.1016/j.jbspin.2008.10.016CrossRefPubMed
20.
go back to reference Serafini G, Sconfienza LM, Lacelli F, Silvestri E, Aliprandi A, Sardanelli F: Rotator cuff calcific tendonitis: short-term and 10-year outcomes after two-needle US-guided percutaneous treatment—nonrandomized controlled trial. Radiology 2009,252(1):157–164. 10.1148/radiol.2521081816CrossRefPubMed Serafini G, Sconfienza LM, Lacelli F, Silvestri E, Aliprandi A, Sardanelli F: Rotator cuff calcific tendonitis: short-term and 10-year outcomes after two-needle US-guided percutaneous treatment—nonrandomized controlled trial. Radiology 2009,252(1):157–164. 10.1148/radiol.2521081816CrossRefPubMed
Metadata
Title
Emergency department diagnosis of supraspinatus tendon calcification and shoulder impingement syndrome using bedside ultrasonography
Authors
David C Riley
Martha Kaufman
Theresa M Ward
Yesenia Acevedo
Rodney Guerra
Adenike Folorunsho
Publication date
01-12-2013
Publisher
Springer Milan
Published in
The Ultrasound Journal / Issue 1/2013
Electronic ISSN: 2524-8987
DOI
https://doi.org/10.1186/2036-7902-5-2

Other articles of this Issue 1/2013

The Ultrasound Journal 1/2013 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.