title: Computed tomography-guided bupivacaine and corticosteroid injection for the treatment of symptomatic calcification in the great toe tendon.
abstract: BACKGROUND
  Calcification in the great toe tendon is a rare disorder that is characterized by the deposition of calcium on degenerative collagen fibrils.
  
  
  METHODS
  IN THIS REPORT, WE PRESENT TWO CASES OF CALCIFIC TENDONITIS: one in the adductor hallucis and the other in the flexor hallucis longus tendon. We preferred computed tomography-guided steroid injection in our cases because of pain unresponsive to conservative treatment. Patients were free of symptoms at the follow-up visit, 4 weeks after injection.
  
  
  CONCLUSIONS
  Calcification of the hallux tendons is a rare disorder. Treatment of tendonitis consists of nonsteroidal anti-inflammatory drugs. Local anesthetic and steroid injection may be considered in cases unresponsive to conservative treatment. Because of the anatomic location of tendons, injection could be difficult. Computed tomography guidance may improve the success rate of injections.
authors.affiliation: Department of Orthopedic Surgery, Kadikoy Florence Nightingale Hospital, Istanbul, Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Karatoprak
authors.affiliation: Department of Orthopedic Surgery, Fatih Sultan Mehmet Training and Research Hospital Atasehir, Istanbul, Turkey.
authors.forename: Sinan
authors.initials: S
authors.lastname: Karaca
authors.affiliation: Department of Orthopedics and Traumatology, Kolan International Hospital Sisli, Istanbul, Turkey.
authors.forename: Mehmet Nuri
authors.initials: MN
authors.lastname: Erdem
authors.affiliation: Department of Orthopedic Surgery, Fatih Sultan Mehmet Training and Research Hospital Atasehir, Istanbul, Turkey.
authors.forename: Ozgur
authors.initials: O
authors.lastname: Karaman
authors.affiliation: Department of Orthopedic Surgery, Istanbul Florence Nightingale Hospital, Istanbul Turkey.
authors.forename: Azmi
authors.initials: A
authors.lastname: Hamzaoglu
keywords: bupivacaine; calcification; corticosteroid injection; great toe tendons