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 correc...

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Bibliographic Details
Published inJournal of rheumatology Vol. 16; no. 2; p. 198
Main Authors Moyer, R A, Bush, D C, Harrington, T M
Format Journal Article
LanguageEnglish
Published Canada 01.02.1989
Subjects
Adult
Aged
Aged, 80 and over
Calcinosis - diagnosis
Calcinosis - diagnostic imaging
Female
Hand - diagnostic imaging
Humans
Male
Middle Aged
Radiography
Tendinopathy - diagnosis
Tendinopathy - diagnostic imaging
Wrist - diagnostic imaging
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Summary: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.
ISSN:0315-162X