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Acute Atraumatic Thumb Pain.

Nikhil Patel¹, Menazi Sha¹, Juhi Tandon¹

¹Department of Orthopaedics, Royal Free Hospital, University College London Royal Free Hospital, London, England.

Journal of Orthopaedic Case Reports

|January 13, 2025

Summary

This summary is machine-generated.

Acute calcific periarthritis (ACP) is a painful condition often misdiagnosed. Early radiological imaging is crucial for diagnosing ACP of the thumb, especially when linked to chronic behavioral patterns.

Keywords:

Acute calcific periarthritis atraumatic behavioral injury monoarticular arthritis

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Area of Science:

Rheumatology
Orthopedic Surgery

Background:

Acute calcific periarthritis (ACP), historically termed calcareous tendinitis or pseudopodagra, involves painful periarticular soft-tissue calcium deposits.
First described in 1907, ACP remains a condition with varied nomenclature and diagnostic challenges.

Observation:

A 39-year-old female presented with severe acute pain and swelling in her right dominant thumb's metacarpophalangeal joint.
The patient reported a 5-month history of mild pain over the radial aspect of the first metacarpal prior to acute presentation.

Findings:

ACP of the thumb is frequently misdiagnosed due to its rarity and overlapping symptoms with more common conditions.
Radiological imaging is essential for accurate diagnosis in cases of acute atraumatic thumb pain.

Implications:

This case underscores the importance of considering ACP in patients with acute thumb pain.
Potential links between chronic behavioral patterns and ACP development warrant further investigation and preventative strategy exploration.