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DOI: 10.1016/j.rcreue.2020.05.012
Subscapularis myositis: An uncommon complication in calcific tendinopathy. A case study
Miositis del subescapular. Una evolución infrecuente en la tendinopatía calcificada. Estudio de un caso
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Javier José Mateos Rodrígueza,
Corresponding author
jjmateosr@gmail.com

Corresponding author.
, Javier Fernández Jarab, David Castro Corredora, Begoña Gutiérrez San Joséb
a Rheumatology Service, General University Hospital of Ciudad Real, Ciudad Real, Spain
b Radiodiagnosis Service, Jiménez Díaz Foundation University Hospital, Madrid, Spain
Received 24 July 2019. Accepted 06 May 2020
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Abstract

Calcific tendinopathy of the shoulder is characterised by the deposit of hydroxyapatite crystals in one or more tendons of the shoulder. Within the processes that occur in this disorder, there is the resorption phase, in which the deposits could migrate towards adjacent structures. A very rare complication is the migration towards the myotendinous junction of the corresponding tendon, which causes a significant muscular inflammatory reaction that can be seen in specific complementary tests. A clinical case is presented of a subscapular calcific tendinopathy, with subsequent migration to the myotendinous junction, causing myositis of the same.

Keywords:
Calcific tendinopathy
Resorption
Myotendinous junction
Muscular oedema
Resumen

La tendinopatía calcificada del hombro se caracteriza por el depósito de cristales de hidroxiapatita en uno o varios tendones del hombro. Dentro de los procesos que ocurren en esta entidad está la fase de reabsorción, en la que los depósitos podrían migrar hacia estructuras adyacentes. Una muy rara complicación es la migración hacia la unión miotendinosa del tendón correspondiente, la cual provoca una importante reacción inflamatoria muscular que puede objetivarse en pruebas complementarias específicas. Presentamos un caso clínico de una tendinopatía calcificante del subescapular, con posterior migración hacia la unión miotendinosa causando una miositis del mismo.

Palabras clave:
Tendinopatía calcificada
Reabsorción
Unión miotendinosa
Edema muscular

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