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.