Management of Calcific Tendinitis of the long head of biceps – Lessons learned

Abstract

Case:

A 55-year-old lady presented with acute right shoulder pain. Investigations, confirmed calcific tendinitis of extra-articular long head of Biceps (LHB). Patient had steroid injection and the symptoms persisted with positive Biceps provocative-tests. We proceeded with surgical exploration for possible biceps tenodesis. Intra-operatively, despite fluid and increased vascularity, there was no calcific lesion and was confirmed by radiograph. Postoperatively, the symptoms resolved within 4 weeks.

Conclusion:

The clinical presentation in calcific tendinitis of extra-articular LHB is acute and responds well to steroid injection. Radiographs to confirm the continued presence of the lesion immediately before surgery is essential.