Relationship between calcific tendinopathy and rotator cuff tear on shoulder magnetic resonance imaging: case-controlled comparison.

PURPOSE: To determine the frequency of rotator cuff tear on the shoulder magnetic resonance imaging (MRI) of patients with rotator cuff calcific tendinopathy and the relationship between rotator cuff tear and calcific tendinopathy. MATERIAL AND METHODS: In this retrospective case control study, 137 patients with calcific tendinopathy and 137 control group patients without calcific tendinopathy with shoulder pain, whose age, sex, and shoulder laterality values were matched, were compared in terms of rotator cuff tears on their shoulder MRI images. RESULTS: The frequency of rotator cuff tear was found to be significantly higher in the control group (37.2%) compared to the calcific tendinopathy group (23.4%) (p < 0.01). Partial thickness was 81.3% in the calcific tendinopathy group and 70.6% in the control group, and no significant difference was observed between the two groups in terms of the size of the rotator cuff tear (p > 0.05). In the calcific tendinopathy group, there was no significant relationship between the localisation of calcification and the rotator cuff tear, and only in 4.4% of the participants were calcification and tear at the same location on the same tendon (p > 0.05, r = 0.04). CONCLUSIONS: The patients with calcific tendinopathy, who had been admitted with shoulder pain, did not demonstrate an increased risk of rotator cuff tear based on their MRI compared to patients with shoulder pain without calcific tendinopathy. No significant relationship was determined between calcific tendinopathy and rotator cuff tear.

Is back pain a diagnostic problem in clinical practices? A rare case report.

Multiple thoracic disc herniations are rare, and few reports exist in the literature. Diagnosis of these herniations is often missed because of their lack of specific clinical presentation. They may be treated conservatively or surgically. We presented a 35-year-old woman with five contiguous level thoracic disc herniations. She was admitted with upper back pain. Magnetic resonance imaging showed disc herniations at levels T6-7, T7-8, T8-9, T9-10 and T10-11. All were left sided and on the same line in the sagittal plane. The patient underwent conservative treatment. This report presented an unusual case and discussed its mechanisms.

Non-febrile seizure associated with pericallosal lipoma.

Intracranial lipoma is a very rare condition, with an incidence of less than 0.1% of all intracranial tumors. They are mostly localized in the pericallosal region. Pericallosal lipoma is an extremely rare tumor of the central nervous system and rarely gives any symptoms. A 6-year-old girl with an unexplained headache was admitted to the Pediatric Outpatient Clinic with complaints of non-febrile seizure. Her seizure was a complex-partial type. Biochemical tests for seizure etiology did not reveal any specific cause. Electroencephalography (EEG) revealed typical epileptic activity. Magnetic resonance imaging (MRI) gave images of a mass approximately 1 cm in diameter in the vicinity of corpus callosum splenium. Her seizures were kept under control with carbamazepine (400 mg/day) and indicators of neuromotor development were found to be normal throughout 24-month period of follow up. Even though it is a rare condition, pericallosal lipoma should also be taken into account in the differential diagnosis of non-febrile seizures in children.