CASE REPORT
A 55 year gentleman, presented with complain of pain over left shoulder
for 1 week. The pain started a day after lifting a heavy load; pain was
continuous and progressive, non-radiating, aggravated by movement and
sleeping on that side. He reported pain to be severe enough to prevent
from performing daily activities. He denied history of trauma, fever and
any systemic or metabolic disorders.
On examination, there was local rise of temperature over the left
acromioclavicular joint, was tender to touch, there was no swelling and
redness of the overlying skin. Both active and passive range of motion
was limited due to pain. There was no lymphadenopathy and neurological
examination was normal.
Plain radiographs of the region revealed presence of calcific deposits
in the acromioclavicular joint. There was no alteration of bone
structures of the joint (Figure 1A and 1B). Complete blood count was
within normal range.