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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eScholarship Publishing, University of California
2025-01-01
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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. |
format | Article |
id | doaj-art-0f4c75fbbc3e4f48a6c3174cb5de4ee4 |
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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