RESUMO
Calcific tendinopathy is one of the causes of shoulder pain and limited range of motion when it affects the rotator cuff tendons. Complications of such a condition are rare and include intraosseous and intramuscular migration. Calcific tendonitis can be classified as acute, subacute or chronic based on the onset of symptoms. The incidence of calcific tendonitis affects females more than males, with the median age of onset being between 40 and 60 years old. Diagnostic modalities include radiographs and computed tomography (CT); however, these are suboptimal when compared to the sensitivity of magnetic resonance imaging. Ninety percent of these cases are treated non-surgically. We present a rare case of a young female patient with right shoulder pain and limited range of motion secondary to the intraosseous migration of calcific tendonitis. The patient's symptoms were resolved after a CT-guided percutaneous bone biopsy of the lesion. Clinical correlation with the aid of imaging and histopathology is a multimodal approach to help diagnose and treat such conditions.
RESUMO
Introduction: Osteochondromas are the most common benign lesions of the bone. They usually affect flat bones such as the scapula. Case Report: We report a case of a left-handed 22-year-old male with no previous medical history, who came to the orthopedic outpatient clinic complaining of pain in the right shoulder, snapping, poor cosmetic look, and limited range of motion. Magnetic resonance imaging revealed an osteochondroma of the scapula. The tumor was surgically excised using a muscle splitting technique in line with the muscle fibers. Histopathological evaluation of the excised tumor confirmed the diagnosis of an osteochondroma. Conclusion: Surgical excision of the osteochondroma using muscle splitting in line with the muscle fibers gave good results in terms of patient satisfaction and cosmetic appearance. Delayed diagnosis and management may increase the risk of symptoms such as snapping or winging of the scapula.
