Hydroxyapatite Deposition Disease as Cause of Atraumatic Shoulder Pain: A Case Report

Introduction: Hydroxyapatite deposition disease (HADD) is caused by the presence of hydroxyapatite crystals in periarticular spaces oftentimes leading to inflammation, pain, and decreased range of motion. Case Report: A 40-year-old right hand dominant female presented with three days of atraumatic r...

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Main Authors: Hong Diem Truong, Andrew Gonedes, Jason Haidar, Kevin Wilson, Michael Remaly, Eric Boccio
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2025-01-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/1883k0pz
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author Hong Diem Truong
Andrew Gonedes
Jason Haidar
Kevin Wilson
Michael Remaly
Eric Boccio
author_facet Hong Diem Truong
Andrew Gonedes
Jason Haidar
Kevin Wilson
Michael Remaly
Eric Boccio
author_sort Hong Diem Truong
collection DOAJ
description Introduction: Hydroxyapatite deposition disease (HADD) is caused by the presence of hydroxyapatite crystals in periarticular spaces oftentimes leading to inflammation, pain, and decreased range of motion. Case Report: A 40-year-old right hand dominant female presented with three days of atraumatic right shoulder pain. Radiographs of the right shoulder were negative. Computed tomography revealed a hydroxyapatite deposit adjacent to the acromioclavicular joint. The patient was managed with nonsteroidal anti-inflammatory drugs and a referral to orthopedic surgery. Conclusion: Many instances of HADD will not be diagnosed on plain radiographs, and heightened awareness will provide confidence when ordering confirmatory imaging. Management is typically conservative, however, referral to orthopedic surgery is recommended to ensure improvement and to assess the need for more invasive procedures.
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institution Kabale University
issn 2474-252X
language English
publishDate 2025-01-01
publisher eScholarship Publishing, University of California
record_format Article
series Clinical Practice and Cases in Emergency Medicine
spelling doaj-art-0f4c75fbbc3e4f48a6c3174cb5de4ee42025-02-04T17:35:19ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-01-0191697210.5811/cpcem.35244cpcem-9-69Hydroxyapatite Deposition Disease as Cause of Atraumatic Shoulder Pain: A Case ReportHong Diem Truong0Andrew Gonedes1Jason Haidar2Kevin Wilson3Michael Remaly4Eric Boccio5Memorial Healthcare System, Department of Emergency Medicine, Hollywood, FloridaMemorial Healthcare System, Department of Emergency Medicine, Hollywood, FloridaFlorida International University, Herbert Wertheim College of Medicine, Miami, FloridaMemorial Healthcare System, Department of Emergency Medicine, Hollywood, FloridaMemorial Healthcare System, Department of Emergency Medicine, Hollywood, FloridaMemorial Healthcare System, Department of Emergency Medicine, Hollywood, FloridaIntroduction: Hydroxyapatite deposition disease (HADD) is caused by the presence of hydroxyapatite crystals in periarticular spaces oftentimes leading to inflammation, pain, and decreased range of motion. Case Report: A 40-year-old right hand dominant female presented with three days of atraumatic right shoulder pain. Radiographs of the right shoulder were negative. Computed tomography revealed a hydroxyapatite deposit adjacent to the acromioclavicular joint. The patient was managed with nonsteroidal anti-inflammatory drugs and a referral to orthopedic surgery. Conclusion: Many instances of HADD will not be diagnosed on plain radiographs, and heightened awareness will provide confidence when ordering confirmatory imaging. Management is typically conservative, however, referral to orthopedic surgery is recommended to ensure improvement and to assess the need for more invasive procedures.https://escholarship.org/uc/item/1883k0pz
spellingShingle Hong Diem Truong
Andrew Gonedes
Jason Haidar
Kevin Wilson
Michael Remaly
Eric Boccio
Hydroxyapatite Deposition Disease as Cause of Atraumatic Shoulder Pain: A Case Report
Clinical Practice and Cases in Emergency Medicine
title Hydroxyapatite Deposition Disease as Cause of Atraumatic Shoulder Pain: A Case Report
title_full Hydroxyapatite Deposition Disease as Cause of Atraumatic Shoulder Pain: A Case Report
title_fullStr Hydroxyapatite Deposition Disease as Cause of Atraumatic Shoulder Pain: A Case Report
title_full_unstemmed Hydroxyapatite Deposition Disease as Cause of Atraumatic Shoulder Pain: A Case Report
title_short Hydroxyapatite Deposition Disease as Cause of Atraumatic Shoulder Pain: A Case Report
title_sort hydroxyapatite deposition disease as cause of atraumatic shoulder pain a case report
url https://escholarship.org/uc/item/1883k0pz
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