title: Assessment and Surgical Treatment of Calcinosis of the Shoulder Associated with CREST Syndrome.
abstract: We report an unusual case of a 65-year-old lady with CREST syndrome with multiple upper and lower limb calcinosis, who presented with severe shoulder pain and stiffness, with widespread intra- and extra-articular calcinosis, which was refractory to conservative measures. We were able to identify the main cause of her symptoms through serial diagnostic injections as calcific biceps tendinosis. We will discuss her assessment and surgical management and the pathophysiology and various treatment modalities for managing the soft tissue calcinosis in rheumatological diseases.
authors.affiliation: Edinburgh Royal Infirmary, Orthopaedic Department, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, Midlothian EH16 4SA, UK.
authors.forename: R
authors.identifier: 0000-0001-5739-2955
authors.initials: R
authors.lastname: Manohara
authors.affiliation: Edinburgh Royal Infirmary, Orthopaedic Department, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, Midlothian EH16 4SA, UK.
authors.forename: S J
authors.initials: SJ
authors.lastname: Breusch