Calcifications in the infraspinatus muscle: An unusual complication of calcific tendinopathy

Calcific tendinopathy is a common disorder associated with the deposition of calcium hydroxyapatite crystals within tendons. The most prevalent location is the shoulder, where it affects the tendons of the rotator cuff. The calcific phase of this condition can be divided into formative, resting, and...

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Main Authors: Zaid Ennasery, MD, Ismail Chaouche, PhD, Salma Abouchiba, MD, Amal Akammar, PhD, Nizar El Bouardi, PhD, Meriem Haloua, PhD, Moulay Youssef Alaoui Lamrani, PhD, Najia Hajjioui, PhD, Meryem Boubbou, PhD, Mustapha Maaroufi, PhD, Badreeddine Alami, PhD
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324013487
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author Zaid Ennasery, MD
Ismail Chaouche, PhD
Salma Abouchiba, MD
Amal Akammar, PhD
Nizar El Bouardi, PhD
Meriem Haloua, PhD
Moulay Youssef Alaoui Lamrani, PhD
Najia Hajjioui, PhD
Meryem Boubbou, PhD
Mustapha Maaroufi, PhD
Badreeddine Alami, PhD
author_facet Zaid Ennasery, MD
Ismail Chaouche, PhD
Salma Abouchiba, MD
Amal Akammar, PhD
Nizar El Bouardi, PhD
Meriem Haloua, PhD
Moulay Youssef Alaoui Lamrani, PhD
Najia Hajjioui, PhD
Meryem Boubbou, PhD
Mustapha Maaroufi, PhD
Badreeddine Alami, PhD
author_sort Zaid Ennasery, MD
collection DOAJ
description Calcific tendinopathy is a common disorder associated with the deposition of calcium hydroxyapatite crystals within tendons. The most prevalent location is the shoulder, where it affects the tendons of the rotator cuff. The calcific phase of this condition can be divided into formative, resting, and resorptive stages. During the resorptive stage, phagocytosis of the calcific deposits may occasionally result in their extrusion. These calcifications may migrate within the tendons or into adjacent tissues, leading to local inflammation and intense pain. Intramuscular migration of calcifications, as seen in this case, is particularly rare and poses significant diagnostic challenges. It is associated with increased pain and functional limitation compared to typical cases of calcific tendinopathy. Recognizing the imaging characteristics of these uncommon complications can help prevent the need for additional unnecessary investigations and facilitate prompt intervention. In this article, we present a case involving intramuscular migration of calcifications into the infraspinatus muscle, a rare complication of calcific tendinopathy. This case involves a 55-year-old patient who was dealing with persistent and debilitating shoulder pain.
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spelling doaj-art-82cfb4fed8d9440389aaec655e7e46ad2025-08-20T03:09:00ZengElsevierRadiology Case Reports1930-04332025-06-012062916292210.1016/j.radcr.2024.11.081Calcifications in the infraspinatus muscle: An unusual complication of calcific tendinopathyZaid Ennasery, MD0Ismail Chaouche, PhD1Salma Abouchiba, MD2Amal Akammar, PhD3Nizar El Bouardi, PhD4Meriem Haloua, PhD5Moulay Youssef Alaoui Lamrani, PhD6Najia Hajjioui, PhD7Meryem Boubbou, PhD8Mustapha Maaroufi, PhD9Badreeddine Alami, PhD10Department of Adult radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco; Corresponding author.Department of Adult radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, MoroccoDepartment of Adult radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, MoroccoDepartment of Mother and Child radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, MoroccoDepartment of Adult radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, MoroccoDepartment of Mother and Child radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, MoroccoDepartment of Adult radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, MoroccoDepartment of Physical Medicine and Functional Rehabilitation: CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, MoroccoDepartment of Adult radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, MoroccoDepartment of Adult radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, MoroccoDepartment of Adult radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, MoroccoCalcific tendinopathy is a common disorder associated with the deposition of calcium hydroxyapatite crystals within tendons. The most prevalent location is the shoulder, where it affects the tendons of the rotator cuff. The calcific phase of this condition can be divided into formative, resting, and resorptive stages. During the resorptive stage, phagocytosis of the calcific deposits may occasionally result in their extrusion. These calcifications may migrate within the tendons or into adjacent tissues, leading to local inflammation and intense pain. Intramuscular migration of calcifications, as seen in this case, is particularly rare and poses significant diagnostic challenges. It is associated with increased pain and functional limitation compared to typical cases of calcific tendinopathy. Recognizing the imaging characteristics of these uncommon complications can help prevent the need for additional unnecessary investigations and facilitate prompt intervention. In this article, we present a case involving intramuscular migration of calcifications into the infraspinatus muscle, a rare complication of calcific tendinopathy. This case involves a 55-year-old patient who was dealing with persistent and debilitating shoulder pain.http://www.sciencedirect.com/science/article/pii/S1930043324013487Calcific tendinopathyIntra muscular migrationImagingShoulderRotator cuff
spellingShingle Zaid Ennasery, MD
Ismail Chaouche, PhD
Salma Abouchiba, MD
Amal Akammar, PhD
Nizar El Bouardi, PhD
Meriem Haloua, PhD
Moulay Youssef Alaoui Lamrani, PhD
Najia Hajjioui, PhD
Meryem Boubbou, PhD
Mustapha Maaroufi, PhD
Badreeddine Alami, PhD
Calcifications in the infraspinatus muscle: An unusual complication of calcific tendinopathy
Radiology Case Reports
Calcific tendinopathy
Intra muscular migration
Imaging
Shoulder
Rotator cuff
title Calcifications in the infraspinatus muscle: An unusual complication of calcific tendinopathy
title_full Calcifications in the infraspinatus muscle: An unusual complication of calcific tendinopathy
title_fullStr Calcifications in the infraspinatus muscle: An unusual complication of calcific tendinopathy
title_full_unstemmed Calcifications in the infraspinatus muscle: An unusual complication of calcific tendinopathy
title_short Calcifications in the infraspinatus muscle: An unusual complication of calcific tendinopathy
title_sort calcifications in the infraspinatus muscle an unusual complication of calcific tendinopathy
topic Calcific tendinopathy
Intra muscular migration
Imaging
Shoulder
Rotator cuff
url http://www.sciencedirect.com/science/article/pii/S1930043324013487
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