Paediatric calcified tendinitis in extensor carpi radialis brevis: A case report

Firas Ahmad Suleiman1, Ahmad Al-Marzouq2, Razi Altarawneh2

  • 1Paediatric Orthopaedic Division, Orthopaedic Department, King Hussein Medical Centre. Amman. Jordan.

Insights

Paediatric calcified tendinitis, a rare condition, typically resolves with conservative care. Surgical excision of calcified lesions in the extensor carpi radialis brevis successfully treated a child with persistent wrist pain.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Rheumatology
  • Musculoskeletal Imaging

Background:

  • Paediatric calcified tendinitis is an uncommon condition, often linked to trauma, with unknown precise etiology.
  • Standard treatment involves conservative management, usually leading to symptom resolution within six weeks.

Observation:

  • A six-year-old male presented with persistent wrist pain unresponsive to conservative therapies.
  • Radiographic examination revealed a calcified lesion affecting the extensor carpi radialis brevis tendon.

Findings:

  • Surgical exploration confirmed the involvement of the extensor carpi radialis brevis.
  • Complete resolution of symptoms was achieved following surgical excision of the identified calcified lesion.

Implications:

  • This case highlights surgical excision as a viable treatment option for refractory paediatric calcified tendinitis.
  • Early surgical intervention may be considered for persistent cases to ensure complete recovery and prevent long-term morbidity.