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Abstract
Hydroxyapatite Deposition Disease- Spontaneous Resolution of Significant Post Treatment Deposit
Highlights
We present a case of a 45 year old female patient who had these calcific deposits in an unusual location of her right shoulder
Hydroxyapatite deposition disease (HADD) is a common disease with calcific deposits occurring in para-articular or intra-articular location and can involve varied anatomical sites [1]
Severe disabling pain leading to periarthritis and adhesive capsulitis can occur in few cases [2,3]
Summary
Hydroxyapatite deposition disease (HADD) is a common disease with calcific deposits occurring in para-articular or intra-articular location and can involve varied anatomical sites [1]. She had been having dull aching pain especially in abduction and external rotation for the past 04 years Radiographs performed during these 04 years revealed two well defined calcific deposits superior to her glenoid and deep to her acromioclavicular joint measuring 11x7.2x5.4 mm in size (together). While individually they measured 5x 3.1x 2.6 and 6.1x 3.6x 2.4mm each) (Figure 1). During the present episode of severe pain radiograph of the shoulder AP oblique view was performed which revealed only one calcific deposit which appeared fluffy in outline (Figure 4). An MRI scan performed immediately after the procedure (i,e 05 days after the pre-procedure MRI) revealed significant residual calcific deposit (measuring 14x3.4x5.3mm) (Figure 7). There has been no recurrence on a further follow-up of 01 more years
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