Ultrasound Appearance of the Migration of Tendon Calcifications

J Ultrasound Med. 2019 Sep;38(9):2493-2506. doi: 10.1002/jum.14933. Epub 2019 Jan 17.

Abstract

Calcific tendinopathy (CTe) is a frequent disorder related to the deposition of calcium hydroxyapatite crystals within tendons. Ultrasound has been shown to be an excellent imaging modality for the evaluation of CTe. During the resorptive phase of CTe, calcium deposits may migrate inside the tendons or in neighboring tissues and lead to local inflammation and severe pain. In this pictorial essay, we describe the ultrasound appearance of a spectrum of CTe migrations. Knowledge of the different migration patterns can help sonologists in their detection and in establishing the correct diagnosis.

Keywords: calcific tendinopathy; hydroxyapatite; intramuscular; intraosseous; migration; resorptive phase.

Publication types

  • Review

MeSH terms

  • Calcinosis / complications
  • Calcinosis / diagnostic imaging*
  • Humans
  • Tendinopathy / diagnostic imaging*
  • Tendinopathy / etiology
  • Ultrasonography / methods*