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Journal of the Korean Society for Surgery of the Hand 2008;13(3):160-166.
Published online September 1, 2008.
Acute Calcific Peritendinitis of the Hand
Ki Hyun Jo, Moon Sang Chung, Goo Hyun Baek, Joo Han Oh, Young Ho Lee, Sook Ha Jeon, Jong Yeal Kang, Hye Yeon Choi, Hyun Sik Gong
수부의 급성 석회성 건주위염
조기현, 정문상, 백구현, 오주한, 이영호, 전숙하, 강종열, 최혜연, 공현식
Abstract
Purpose
Acute calcific peritendinitis (ACP) of the hand is an infrequently recognized and frequently misdiagnosed condition presenting with severe pain and swelling of the affected joint and calcification seen on plain radiographs. The purpose of the current study was to describe the clinical features associated with this condition and to review the literature. Methods: A retrospective study of ACP of the hand was carried out in 8 patients seen from July 2004 to March 2008. Clinical and radiographic data were collected by medical records and telephone interview at a mean follow up of 21.5 (range; 3-44) months. Results: Six patients were females and two were males with ages ranging between 25-54 years (mean, 38.6 years). The most severe pain reached within 2 weeks after symptom development, and roentgenograms showed dense deposits corresponding to the painful sites in all cases. A correct diagnosis was made on initial evaluation in the 4 patients seen first by us, however, three of the four referred patients had been misdiagnosed initially, and one of them had surgical removal of the calcific material under suspicion of pyogenic infection by a primary physician. The treatments were composed of resting and NSAIDs in acute painful periods. The signs and symptoms completely resolved in 4-12 weeks (mean, 7 weeks). No recurrences were seen at any site during the follow up period. Conclusions: ACP of the hand is a self-limited disease with an excellent outcome. Unawareness of this disease entity may cause misdiagnosis and unnecessary diagnostic work up and treatment.
 


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