Épaule aiguë hyperalgique atypique : intérêt de l’échographie |
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Authors: | Bertrand Lecoq Rgis Levasseur Luc Fournier Grard Schmutz Christian Marcelli |
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Institution: | aService de rhumatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex, France;bService de radiologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex, France |
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Abstract: | A patient presented with an atypical pattern of acute severe shoulder pain. Sonography elucidated the mechanism of the pain and allowed effective treatment. The patient was unable not only to move her shoulder but also to flex and to extend her elbow. Sonography showed a calcific deposit in the subscapularis tendon with local edema displacing the long head of the biceps tendon out of the bicipital groove. Local injection of a glucocorticoid under ultrasonographic control was followed within seven days by subsidence of the subscapularis tendon edema and by a return of the long head of the biceps tendon to its normal position in the bicipital groove. |
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