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Related Experiment Videos

Calcific bursitis in a three-year-old boy: a case report

M Hatori1, M Sakurai, N Watanabe

  • 1Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan.

Foot & Ankle International
|May 1, 1995
PubMed
Summary

This case report details calcific bursitis near the first metatarsophalangeal (MP) joint in a child. Surgical removal revealed hydroxyapatite deposits, mimicking gout symptoms.

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Pediatric Podiatry

Background:

  • Calcific bursitis is a rare condition characterized by calcium hydroxyapatite crystal deposition in bursae.
  • It can present with symptoms mimicking other inflammatory joint conditions, such as gout.
  • The first metatarsophalangeal (MP) joint is a common site for crystal-induced arthropathies.

Observation:

  • A 3-year-old boy experienced recurrent episodes of medial pain at the first MP joint.
  • These episodes were clinically similar to acute gouty arthritis.
  • Radiographs revealed a calcified opacity adjacent to the medial aspect of the first MP joint.

Findings:

  • Surgical excision of the inflamed bursa was performed.
  • Histopathological and X-ray analyses confirmed the presence of hydroxyapatite crystals within the bursal tissue.

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  • This confirmed the diagnosis of calcific bursitis.

    • Implications:

    • This case highlights that calcific bursitis can occur in children and mimic gout.
    • Accurate diagnosis requires considering imaging and, if necessary, surgical exploration.
    • Understanding this differential diagnosis is crucial for appropriate pediatric orthopedic and rheumatologic management.