المؤلفون: Rashed Al-Khudairi, MBBS FRCR, Alexandros Maris, MD MSc, Ruhaid Khurram, MBBS FRCR, Stamatios Tsamados, MD, Joanna Farrant, MBChB FRCR, Thomas M Armstrong, MBBS BSc FRCR

المصدر: Radiology Case Reports, Vol 19, Iss 3, Pp 1004-1007 (2024)

مصطلحات موضوعية: Gluteus tendonitis, Calcific tendonitis, Calcific tendinopathy, Gluteus medius, Anterior hip pain, Medical physics. Medical radiology. Nuclear medicine, R895-920

الوصف: Calcific tendinopathy in the gluteus medius is uncommon and sporadically reported. It may be asymptomatic or present with acute or chronic pain. Pain is usually isolated to the lateral hip overlying the gluteal muscles or greater trochanter. We present a rare case of gluteus medius calcific tendonitis as a cause of severe anterior hip pain. Given the atypical local and clinical presentation these can be often misdiagnosed as septic arthritis or fracture which may lead to overtreatment and even unnecessary surgery. This article will detail the clinical presentation, imaging findings, and clinical course following treatment. This will facilitate the clinician in making a timely diagnosis and establishing an effective treatment course.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S1930043323009172Test; https://doaj.org/toc/1930-0433Test

الوصول الحر: https://doaj.org/article/4c273d0166644695a0cac15390eee04dTest

المؤلفون: Deming Guo, Jingjing Yang, Xiaoning Liu

المصدر: Frontiers in Surgery, Vol 10 (2023)

مصطلحات موضوعية: calcific tendonitis, distal interphalangeal joint, finger, surgical treatment, case report, Surgery, RD1-811

الوصف: BackgroundCalcific tendonitis rarely occurs in the fingers, and it is easily misdiagnosed. Herein we describe the case of a patient with multiple calcific lesions within the flexor digitorum superficialis and the extensor digitorum tendons of the distal interphalangeal joints of the right index finger, and the surgical treatment of those lesions.Case presentationThe patient was a 66-year-old man who reported pain and swelling in his right index finger for one year. He was diagnosed with chronic calcific tendonitis based on his symptoms and radiology images. He was successfully treated surgically, and histopathological examination confirmed the diagnosis. After one month, the patient had healed well, and there was no recurrence.ConclusionsThis is the first report of a patient suffering from chronic calcific tendonitis in a finger who failed conservative treatment and was successfully treated with surgery. The outcome demonstrates that surgical debridement can yield a good outcome in patients with chronic calcific tendonitis.

وصف الملف: electronic resource

العلاقة: https://www.frontiersin.org/articles/10.3389/fsurg.2023.1119612/fullTest; https://doaj.org/toc/2296-875XTest

الوصول الحر: https://doaj.org/article/a41e07e0925d4a52ad111eaf5d19006eTest

المؤلفون: Kazuhiro Ishikawa

المصدر: Clinical Case Reports, Vol 11, Iss 3, Pp n/a-n/a (2023)

مصطلحات موضوعية: calcific tendonitis, myositis of gluteus medius, pyomyositis, Medicine, Medicine (General), R5-920

الوصف: Abstract In cases with acute hip pain, noninflammatory orthopedics diseases are common. But we sometimes experience acute pyomyositis with high inflammation. Although a rare case, we consider calcific tendonitis and pyogenic myositis.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2050-0904Test

الوصول الحر: https://doaj.org/article/e4ef277c1fff4fcd838d9eeaf8d4684cTest

المؤلفون: Syed Mohammed Taif Rizvi, David Qiu, Patrick Lam, Lisa Hackett, Judie Walton, George A. C. Murrell

المصدر: Journal of Clinical Medicine; Volume 12; Issue 9; Pages: 3114

مصطلحات موضوعية: calcific tendonitis, ultrasound-guided removal, localization, biopsy needle, pain, stiffness

الوصف: Background: We have developed a novel technique for managing rotator cuff calcific tendonitis, involving arthroscopic debridement of calcific tendonitis with localization assistance from a breast biopsy needle under ultrasound guidance. While we have demonstrated encouraging results at six-month follow-up, the medium-term outcomes and the long-term outcomes of this technique at 2 years or beyond are unknown. The aim of this paper was to determine if this technique was successful in resolving symptoms after two years and beyond. Study Design: Retrospective Cohort Study. Methods: Patients who underwent arthroscopic debridement of calcific tendonitis with localization assistance from a breast biopsy needle under ultrasound guidance by a senior surgeon were evaluated using patient-rated pain scores and functional status with the use of the Likert scales and via examiner-rated shoulder range-of-motion and strength at the pre-operative visit, at 1, 6, 12, and 24 weeks post-operatively, and long-term at a mean of 249 weeks after surgery. Results: At a mean follow-up period of 4.8 years (range, 2–10 years), 31 patients (33 shoulders) experienced significant improvement in the severity of pain at rest, with overhead activities, and during sleep compared to their pre-operative presentation (p < 0.001). The patient experienced less frequent pain during activities and sleep, and a decreased frequency of extreme pain (p < 0.001). Passive range of abduction (p = 0.003), forward flexion (p < 0.001), and supraspinatus strength (p = 0.018) improved compared to the presurgical presentation. Out of 27 patients, 24 patients (89%) had complete resolution of calcific tendonitis, and 26 patients (96%) had an intact rotator cuff. Conclusion: Arthroscopic debridement of calcific tendonitis with localization assistance from a breast biopsy needle under ultrasound guidance was very effective. Patients had significant pain relief, improved range of motion, and a reduction in stiffness at a mean post-operative period of 4.8 years. ...

وصف الملف: application/pdf

العلاقة: Orthopedics; https://dx.doi.org/10.3390/jcm12093114Test

الإتاحة: https://doi.org/10.3390/jcm12093114Test

المؤلفون: Hind Guerroum, MD, Ines Koubaa, MD, Aldjia Benissad, MD

المصدر: Radiology Case Reports, Vol 17, Iss 4, Pp 1228-1230 (2022)

مصطلحات موضوعية: Inflammatory neck pain, Longus colli tendinitis, Retropharyngeal calcific tendonitis, Medical physics. Medical radiology. Nuclear medicine, R895-920

الوصف: Calcific tendinitis of the longus colli is an uncommon disease with unknown incidence, caused by the deposit of calcium hydroxyapatite in the superior oblique tendon of the longus colli. We report a case of A 57-year-old woman with a history of a thyroglossal cyst, presented in the emergency department with severe neck pain, odynophagia, and a biological inflammatory syndrome. The CT scan showed calcifications in the longus colli muscle (LCM) in front of the C1-C2 level with poorly defined margins, a thickening of the prevertebral soft tissue measured at 15 mm, with no evidence of abscess formation. The diagnosis of resorbed calcific tendinitis of the longus colli muscle was established. The patient was treated with nonsteroidal anti–inflammatory drugs with a complete resolution of symptoms after. Radiologists should be aware of the pathognomonic imaging feature of Calcific tendinitis of the longus colli to guide physicians and to avoid invasive treatment and over-prescription of antibiotics, after excluding life-threatening diseases.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S1930043322000231Test; https://doaj.org/toc/1930-0433Test

الوصول الحر: https://doaj.org/article/9b6d65d9d07e4b439bab83a9d20242b7Test

المؤلفون: Antonio Corvino

المصدر: Euromediterranean Biomedical Journal, Vol 16, Iss 20, Pp 85-88 (2021)

مصطلحات موضوعية: calcific tendonitis, shoulder, ultrasound protocol, subscapularis tendon calcification, Medicine (General), R5-920

الوصف: Calcific tendonitis (CT) is characterized by deposition of calcium phosphate crystals in rotator cuff (RC) tendons of the shoulder. It most commonly involves the supraspinatus tendon even though the subscapularis tendon is a =rare site for calcific deposition, especially in young sportsmen. Herein, we report the case of a 29-year-old professional tennis player with CT of the subscapularis tendon diagnosed by using the European Society of Musculoskeletal Radiology (ESSR) standardized step-by-step shoulder ultrasound (US) protocol and treated with US-guided needling of the calcification site. The aim of this report is to increase the general awareness of the atypical localization of RCCT and to highlight the importance of US imaging in early diagnose and early treatment of this disease. Thus, sports physicians must be aware of the diagnostic and therapeutic possibilities offered by US in order to expedite rapid referral to a musculoskeletal specialist who can perform a point-of-care US examination of the shoulder and, where necessary, an US-guided interventional approach.

وصف الملف: electronic resource

العلاقة: http://www.embj.org/wp-content/uploads/2021/07/Corvino_20.pdfTest; https://doaj.org/toc/2279-7165Test

الوصول الحر: https://doaj.org/article/3b63fb743d30476c95c999a279ccc8dbTest

المؤلفون: Mauricio Drummond Junior, MD, Caroline Ayinon, MS, Mark Rodosky, MD, Dharmesh Vyas, MD, Bryson Lesniak, MD, Albert Lin, MD

المصدر: JSES International, Vol 5, Iss 3, Pp 469-473 (2021)

مصطلحات موضوعية: Calcific tendonitis, Tendinitis, Rotator cuff tears, Shoulder, Calcification, Shoulder pain, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935

الوصف: Background: Calcific tendinitis of the shoulder is a painful condition characterized by the presence of calcium deposits within the tendons of the rotator cuff (RTC). When conservative management fails, arthroscopic surgery for removal of the calcium may be considered. Surgical removal is often followed by RTC repair to address the resulting tendon defect. This study was performed to assess predictive factors for failure of conservative management and to characterize the rate of RTC repair in the setting of calcific tendinitis. We hypothesize that larger calcific lesion would have a higher likelihood to fail conservative treatment. Methods: A retrospective review of patients who were diagnosed with calcific tendinitis at our institution between 2009 and 2019 was performed. Demographics, comorbidities, pain score (visual analog scale), American Shoulder and Elbow Surgeons score, range of motion, and patient-reported quality of life measures were recorded and analyzed. All patients underwent a radiograph and magnetic resonance imaging. Size of the calcific lesion was measured based on its largest diameter on magnetic resonance imaging. Statistical analysis included chi-square test, independent t-test, and analysis of variance. Results: Two hundred thirty-nine patients were identified in the study period; 127 (53.1%) were women. The mean age was 54 years, and body mass index was 29.2 with a mean follow-up of 6 months. One hundred and sixty had an intact RTC (67.2%) and 78 had a partial RTC tear (32.8%). Ninety-three of 239 (38.9%) patients failed conservative treatment after an average of 4.4 months, necessitating surgical management. Among patients who underwent surgery, the majority of patients (77 of 93 [82.8%]) required a concomitant RTC repair. Subanalysis demonstrates that calcific lesions >1 cm was significantly associated with failure of conservative treatment (odds ratio = 2.86, 95% confidence interval 1.25-6.29, P 1 cm had a 2.8× increased likelihood to undergo operative treatment in the setting of calcific tendinitis of the shoulder. Most patients who undergo surgical management for removal of the calcific deposit required a concomitant RTC repair and had significant improvements in shoulder pain and function. This information can be helpful to guide orthopedic surgeons on preoperative planning and discussion when treating calcific tendinitis of the shoulder.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S266663832100075XTest; https://doaj.org/toc/2666-6383Test

الوصول الحر: https://doaj.org/article/f2b7d1ee0fbd4de18facea5cf1bc0f43Test

المؤلفون: Andrei V. Korolev, Dmitrii O. Ilyin, Aleksandr V. Frolov, Mikhail S. Ryazantsev, Nina E. Magnitskaya, Mikhail E. Burtsev, Oksana V. Makarieva, Pavel M. Kadantsev, Aleksei N. Logvinov, Alina S. Likholitova

المصدر: Гений oртопедии, Vol 25, Iss 4, Pp 452-459 (2019)

مصطلحات موضوعية: partial tear of the supraspinatus tendon, rotator cuff, glenohumeral joint, calcific tendonitis, Orthopedic surgery, RD701-811

الوصف: Calcific tendinitis of the rotator cuff is a common disorder and can be successfully treated with non-operative techniques in most cases, although surgical management should be considered in some patients for adequate calcium removal. No clear consensus exists regarding whether the involved tendinous portion to be repaired or not with suture following the deposit removal. The purpose of this study is to evaluate and compare results of re-fixation and debridement of the rotator cuff tendons after calcium removal. Material and methods The study is a retrospective analysis of case histories, operation protocols, magnetic resonance images and radiographs of the shoulder of 19 consecutive patients diagnosed with calcific tendinitis that was surgically treated at our clinic between 2013 and 2016. The median age of the patients was 52 years. All patients were divided into two groups depending on the surgical treatment performed. Calcium deposit was removed and the rotator cuff sutured in patients of the main group, and calcium was removed and the rotator cuff debrided in controls. Results Outcomes were rated as excellent with OSS in 58.3 %, as good in 33.3 % and satisfactory in 8.4 % of the patients in the main group. Controls showed 28.6 % of excellent outcomes and 71.4 % of good results. Excellent ASES shoulder scores were recorded in 91.6 % of the patients in the main group and 8.4 % had satisfactory results. Excellent results were achieved in 71.4 % of controls and 28.6 % had good results. No poor outcomes were observed in the patients. No statistically significant differences were found between the groups. All patients of the main group completely regained the function up to 100 % at a follow-up visit. However, the median time required to regain function by 50 % was 3 months (interquartile range 2:6) after surgery in patients of the main group and 1.5 months in controls. There was a correlation revealed between persistent history of calcific tendinitis and dimensions of the deposit according to the Bosworth classification. Conclusion A type of calcium deposit identified with radiological classifications was shown to have no impact on outcomes. Patients who underwent no repair of the rotator cuff achieved 50 % recovery of the shoulder function almost twice as quickly as those with repaired tendon. No statistically significant differences in outcomes were found between the groups but patients of the main group showed higher scores measured with patient-reported outcomes. More research needs to be carried out on a variety of techniques before definitive conclusions can be made on strategies of surgical treatment of calcific tendonitis.

وصف الملف: electronic resource

العلاقة: http://ilizarov-journal.com/files/eng/2019_4_02_Eng.pdfTest; https://doaj.org/toc/1028-4427Test; https://doaj.org/toc/2542-131XTest

الوصول الحر: https://doaj.org/article/c2749640885c4d1a919f31d00fc39410Test

المؤلفون: Ria Gwalani, DMRE MBBS, Pranav Thombare, DMRD,DNB, MBBS, Mitusha Verma, DNB,MBBS, Gauri Ahuja, DNB,MBBS, Deepak Patkar, MD,MRD,DMRE,MBBS

المصدر: Radiology Case Reports, Vol 15, Iss 7, Pp 975-977 (2020)

مصطلحات موضوعية: Calcific Tendonitis, Supraspinatus tendon, Intraosseous migration, MRI, Medical physics. Medical radiology. Nuclear medicine, R895-920

الوصف: Calcific Tendinitis is a condition characterized by abnormal deposition of hydroxyapatite crystals in the tendons with secondary inflammation. However, complication like intraosseous migration is rare. Hereby we present a case of 58-year-old female patient who presented with pain in the right shoulder along with restricted movements. The MRI scan revealed features of intraosseous migration of calcification in addition to the detailed evaluation of calcific tendinitis. Furthermore, the patient was treated with ultrasound guided aspiration & percutaneous irrigation post which the pain subsided indicating promising therapeutic role of ultrasonography in such cases. Thus multimodality approach can help in complete diagnosis & treatment of this condition.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S1930043320301576Test; https://doaj.org/toc/1930-0433Test

الوصول الحر: https://doaj.org/article/eda1585ad520482cbe58dab020fbbc84Test

المؤلفون: D. Schneider, M. Hirsch

المصدر: Reumatismo, Vol 69, Iss 1, Pp 43-46 (2017)

مصطلحات موضوعية: Calcific Tendonitis, Radiography, Ultrasound, Hydroxyapatite crystal, Deposition disease., Medicine, Internal medicine, RC31-1245

الوصف: Acute calcific tendinopathy is one of the manifestations of hydroxyapatite crystal deposition disease. While it is more frequent in the shoulder, it has been described in virtually all areas of the body, but rarely in the muscles of the hand. Its etiopathogenesis is not yet fully understood and despite being a fairly frequent condition, it is commonly misdiagnosed. The onset of the disease is usually acute and resolves spontaneously. Acute calcific tendinitis of the interosseous tendons of the hand is an uncommon site of a frequent condition. The clinical presentation is similar to other entities, thus errors in diagnosis frequently occur, resulting in over-treatment or unnecessary tests. We describe a case of acute calcific tendinitis of the interosseous muscles of the hand with a brief review of the current literature with emphasis on diagnostic imaging methods.

وصف الملف: electronic resource

العلاقة: http://www.reumatismo.org/index.php/reuma/article/view/950Test; https://doaj.org/toc/0048-7449Test; https://doaj.org/toc/2240-2683Test

الوصول الحر: https://doaj.org/article/a8a93d7340b144998c85f4435e89fbadTest