Acute calcific tendinitis of the hand and wrist: a report of 12 cases and a review of the literature.
Acute calcific tendinitis is a frequently unrecognized cause of hand and wrist tenderness and swelling. We report 12 cases seen over an 8-year period. Roentgenograms showed deposits in various peritendinous sites especially near the pisiform. Special views may be required for visualization. A correct diagnosis was made in 5/12 cases; other etiologies considered included closed-space infections. In most cases, treatment consisted of immobilization plus nonsteroidal antiinflammatory drugs or local steroid injections. Results were uniformly good. Seven of 7 patients demonstrated resolution of calcium deposits on subsequent roentgenograms. Failure to recognize this entity may cause unnecessary investigation and therapy.
Moyer
R A
RA
Department of Rheumatology, Geisinger Medical Center, Danville, PA 17822.
Bush
D C
DC
Harrington
T M
TM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002114:Calcinosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006225:Hand / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D052256:Tendinopathy / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014953:Wrist / Q000000981:diagnostic imaging