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Summary
Acute calcific tendinitis can affect the longus colli tendon in the neck, mimicking other conditions. This condition presents with neck pain and swelling, resolving within two weeks.
Area of Science:
- Orthopedics
- Radiology
- Rheumatology
Background:
- Acute calcific tendinitis is a common condition typically affecting the shoulder.
- The longus colli muscle tendon is an uncommon site for this condition.
Observation:
- Radiographs show amorphous calcification anterior to the C1 vertebra.
- Associated prevertebral soft tissue swelling is observed from C1 to C4.
- Symptoms include sudden, severe neck and throat pain, exacerbated by swallowing and head movement.
Findings:
- Calcification is characteristic and localized anterior to C1.
- Swelling of prevertebral soft tissues extends from C1 through C4.
- Pain peaks at 2-5 days and typically resolves within 1-2 weeks.
- Mild fever and elevated sedimentation rate may be present.
Implications:
- Recognizing this unusual presentation is crucial for accurate diagnosis.
- Differentiating from other causes of neck pain is important for appropriate management.
- The condition is self-limiting, with complete resolution of symptoms and calcification.