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Acute calcific tendinitis in the hand and wrist
1Hand and Microsurgery Unit, Royal North Shore Hospital, Sydney, Australia.
Journal of Hand Surgery (Edinburgh, Scotland)
|May 1, 1991
Summary
Acute calcific tendinitis in the hand and wrist is often misdiagnosed. This review highlights three cases to improve diagnostic accuracy for this painful condition.
Area of Science:
- Orthopedic Surgery
- Rheumatology
- Radiology
Background:
- Acute calcific tendinitis is an under-recognized condition characterized by calcium hydroxyapatite crystal deposition in tendons.
- It commonly affects the shoulder but can occur in other joints, including the hand and wrist.
Observation:
- This report details three distinct cases of acute calcific tendinitis specifically affecting the hand and wrist.
- Clinical presentations varied, sometimes mimicking other common hand and wrist pathologies.
Findings:
- Misdiagnosis is frequent due to the varied and often non-specific symptoms.
- Radiographic evidence, though sometimes subtle, is crucial for accurate diagnosis.
Implications:
- Increased awareness among clinicians is necessary to improve early and accurate diagnosis.
- Prompt diagnosis can lead to appropriate management and prevent unnecessary interventions.
- Further research into the etiology and optimal management strategies for hand and wrist calcific tendinitis is warranted.