Elbow Calcific Tendinosis Initially Detected by Ultrasonography: A Case Report Publisher Pubmed



Rikhtehgar M¹ ; Sharifi Y^{1, 2} ; Mazaher FN³ ; Azarpey N¹
Source: Journal of Medical Case Reports Published:2024

Abstract

Introduction: Calcific tendinosis is a common condition caused by the deposition of hydroxyapatite crystals within the tendons that can impact any tendinous insertion. In this situation, ultrasound (US) may be a viable imaging modality in addition to radiography. Case presentation: A 56-year-old Iranian male presented with left elbow pain. US evaluation at the lump site revealed a subcutaneous lipoma. Ultrasonography showed a thickened and diffusely heterogeneously hypoechoic pronator teres tendon. These characteristics were consistent with the diagnosis of calcific tendinosis. Discussion and conclusion: Radiography is the most common and practical imaging modality for calcific tendinosis diagnosis. Despite this, the real-time nature of ultrasonography makes it both diagnostic and therapeutic in this condition. Other conditions, such as lipoma, may interfere with the proper diagnosis of calcific tendinosis. © The Author(s) 2024.