Sequential presentation of CPPD in shoulder and elbow: A case report

Abstract

Calcific tendinitis is a self-limiting condition characterized by the deposition of calcium crystals into the tendons, most commonly affecting the Shoulder joint. Calcium hydroxyapatite crystals are often seen, but calcium pyrophosphate dehydrate (CPPD) is a rare variant of crystal deposition in tendons. Calcific deposits at triceps insertion are not a common presentation of calcific tendinitis. A 35-year male patient presented with acute onset elbow pain and swelling with CPPD crystal deposition and calcific tendinitis of the triceps tendon. The patient had a previous history of calcific tendinitis of the shoulder, which was treated with arthroscopy. The patient underwent ultrasound-guided needling for calcific tendinitis of triceps and lavage, followed by physiotherapy. He had excellent results with full return to functions on follow-up.