Para articular calcified masses remain a relatively common occurrence where it is most often due to chronic renal failure. The underlying aetiology is usually due to a disorder of calcium metabolism, chronic inflammation or malignancy. In a small subset it is due to hyperphosphatemia from an underlying disorder of phosphate metabolism, Tumoral Calcinosis. Identifying this subset of patient is paramount for effective management as medical management of the associated hyperphosphataemia is critical in lowering the incidence of recurrence.
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