Anterior dislocation, chronic rotator cuff tear and tumoral calcinosis ( RID5202 )
The anterior dislocation in this patient is evident and there is synovitis and a large joint effusion as well as atrophy of the supraspinatus muscle belly due to a chronic tear. Acute tears are associated with anterior dislocations in the elderly but I felt this tear was pre-existing. It may have predisposed her to the dislocation. Tumoral calcinosis is an entity that has changed definitions over the years and was originally described in the European literature and called Teutschlaender disease. Please see the excellent article describing the definition of tumoral calcinosis and its many mimickers. I have incorrectly used the term in its strictest definition. I am inquiring into the calcium and phosphate status of the patient. The original definition required normocalcemic and hyerphosphatemic chemistry. When and if I find out Ill post. In the meantime, curl up with a cup of coffee and enjoy the article linked here. [ Article ]

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