Periarthritis Humeroscapularis – A Rare Radiological Case Report

Abstract

Cilj: U ovome radu prikazujemo vrlo rijedak rendgenski i ultrazvučni nalaz u akutnoj egzacerbaciji periartritisa ramena. Prikaz slučaja: Temeljna lezija lokalizirana je tipično u tetivi m. supraspinatusa i inflamiranoj subakromijalnoj burzi u kojoj je radiološki dokazan izljev bogat otopljenim kalcijevim solima (engl. milk of calcium). Ovakav se rendgenski i ultrazvučni nalaz u kliničkom radu, a tako i u literaturi, rijetko zabilježi jer je vezan za tranzitornu, mehaničku fazu u evoluciji periartritisa tijekom koje solidni periartikularni vapneni depoziti prelaze u tekuću suspenziju. Zaključak: Radiološka dijagnostika, u prvom redu rendgenski i ultrazvučni pregled optimalne su metode za dijagnostiku, diferencijaciju i praćenje periartritisa.Aim: This paper presents a very rare X-ray and ultrasound finding in acute exacerbation of shoulder periarthritis. Case Report: The underlying lesion is typically localized in the tendon of the supraspinatus muscle and the inflamed subacromial bursa with calcium rich effusion – milk of calcium. Such X-ray and ultrasound findings are rarely recorded in clinical practice and in the literature, as they are associated with the transient, mechanical phase in the evolution of periarthritis during which solid periarticular calcium deposits transitions into a liquid phase. Conclusion: Radiological diagnostics, primarily X-ray and ultrasound examinations, are optimal methods for diagnosing, differentiating, and clinical monitoring of the shoulder periarthritis