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Orthopaedics · Shoulder: calcific tendinitis
Sample itemA 45-year-old woman has sudden severe shoulder pain, and a radiograph shows a dense calcific deposit above the greater tuberosity. Which tendon is most often involved?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Supraspinatus
Calcific tendinitis is deposition of calcium hydroxyapatite in the rotator cuff, most often in the supraspinatus near its insertion, and causes acute severe pain during the resorptive phase. Treatment includes NSAIDs, steroid injection, needling and extracorporeal shock wave therapy.
Option by option
A. Long head of biceps
The biceps long head is not the usual site.
B. Supraspinatus (correct)
Correct. The supraspinatus is the usual site.
C. Teres major
Teres major is not a cuff muscle.
D. Subscapularis
The subscapularis is less often involved.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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