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Related Experiment Videos

[Apatite deposition diseases].

J C Gerster1

  • 1Service de rhumatologie, medecine physique et réhabilitation, CHUV, I011 Lausanne. Jean-Charles.Gerster@hospvd.ch

Revue Medicale Suisse
|April 27, 2007
PubMed
Summary
This summary is machine-generated.

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Apatite crystal deposition in shoulder joints, causing calcific periarthritis, is often asymptomatic and may resolve spontaneously. Treatment includes NSAIDs and corticosteroid injections, with aspiration or surgery for rare, persistent cases.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Crystal Arthropathies

Context:

  • Apatite crystal deposition disease (ACDD) involves calcific periarthritis and articular calcifications.
  • Rotator cuff involvement affects approximately 3% of adults, often asymptomatically.
  • Intraarticular apatite crystals are linked to severe, destructive osteoarthrosis, particularly in shoulder joints.

Purpose:

  • To describe the clinical presentation and management of apatite crystal deposition in the shoulder.
  • To highlight the association between intraarticular apatite crystals and severe shoulder osteoarthrosis.
  • To outline treatment strategies for symptomatic ACDD.

Summary:

  • Calcific periarthritis results from apatite crystal deposition, commonly in the shoulder's rotator cuff.

Related Experiment Videos

  • While often asymptomatic, these calcifications can resolve spontaneously after an acute flare.
  • Diagnosis in severe osteoarthrosis involves identifying crystals in synovial fluid.

    • Impact:

    • Non-steroidal anti-inflammatory drugs (NSAIDs) and local corticosteroid injections are effective treatments.
    • Aspiration or surgical removal of calcifications is indicated in rare, refractory cases.
    • Understanding ACDD aids in managing shoulder pain and joint destruction.