title: Atypical pattern of acute severe shoulder pain: contribution of sonography.
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 7 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.
authors.affiliation: Rheumatology Department, Caen Teaching Hospital, Avenue de la côte de Nacre, 14033 Caen, France. berlecoq@wanadoo.fr
authors.forename: Bertrand
authors.initials: B
authors.lastname: Lecoq
authors.forename: Régis
authors.initials: R
authors.lastname: Levasseur
authors.forename: Luc
authors.initials: L
authors.lastname: Fournier
authors.forename: Gérard
authors.initials: G
authors.lastname: Schmutz
authors.forename: Christian
authors.initials: C
authors.lastname: Marcelli
mesh_terms: D000208:Acute Disease; D000368:Aged; D002114:Calcinosis / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D010146:Pain / Q000000981:diagnostic imaging*; D012720:Severity of Illness Index; D012785:Shoulder Joint / Q000000981:diagnostic imaging*; D052256:Tendinopathy / Q000000981:diagnostic imaging*; D014463:Ultrasonography