Acute Calcific Tendinosis of the Flexor Hallucis Brevis

Garner, Hillary W.; Whalen, Joseph L.

doi:10.1177/1071100713491562

Cited by 5 publications

(10 citation statements)

References 27 publications

(67 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with active calcium resorption or rupture may present with acute, incapacitating pain because of the release of hyperalgesic cytokines. 15 The final stage, the reparative phase, histologically shows infiltration of fibroblasts that repair the injured tendon. This final phase is most often radiographically and clinically imperceptible.…”

Section: Discussionmentioning

confidence: 99%

“…11,12 Severe pain associated with calcific tendinitis usually occurs during the resorptive phase, where there is vascular proliferation along the margin of the deposit, with infiltration of macrophages and multinucleated giant cells that digest the apatite crystals and release hyperalgesic cytokines. [13][14][15] The authors report a case of calcific tendinitis found within the hip labrum with a clinical presentation of acute, atraumatic, debilitating pain, with radiographic follow-up showing resorption of the calcific foci. The clinical picture is similar to what is described during the resorptive phase seen in calcific tendinitis of the shoulder.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Acute Severe Hip Pain Associated With Labral Calcific Deposition Disease

Jimenez¹,

Beebe²,

Maak³

et al. 2014

Orthopedics

View full text Add to dashboard Cite

Calcific tendinitis is a term used to describe radiographic evidence of calcific deposition within a tendon. This condition, also known as calcium deposition disease, has been described in the gluteus maximus, the peroneus longus tendon, the popliteus tendon, the longus colli muscle in the neck, and the tendon of the rectus femoris. However, most of the literature on calcific tendinitis relates to crystal deposition within the rotator cuff of the shoulder. The peri-articular pain related to calcium deposition may be indolent and chronic, and patients can have varying degrees of functional deficit. Patients also may present with an acute inflammatory event, with severe incapacitation and restricted passive range of motion and a clinical picture that is concerning for septic arthritis. Severe pain associated with calcific tendonitis usually occurs during the resorptive phase, where there is vascular infiltration of the calcium deposits and histologic evidence of phagocytosis. The authors report a case of calcium deposition disease found within the hip labrum with a clinical presentation of acute, atraumatic, debilitating pain in a patient with underlying femoroacetabular impingement. This clinical picture is similar to that described during the resorptive phase seen in calcific tendonitis of the shoulder. The authors attribute this presentation to acute rupture of the calcium deposit into the intra-articular joint space of the hip. To the authors' knowledge, there are no other reports of this clinical presentation in the literature.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Acute Severe Hip Pain Associated With Labral Calcific Deposition Disease

Jimenez¹,

Beebe²,

Maak³

et al. 2014

Orthopedics

View full text Add to dashboard Cite

show abstract

“…Restricted range of motion may or may not be present. Laboratory and vital signs are usually normal; however, it is not uncommon for patients to have mildly elevated inflammatory markers, mild leukocytosis, or low grade fever, which can also raise the concern for infection [4, 25–27]. Furthermore, it is not uncommon for acute calcific tendinitis episodes to be preceded by low level trauma, and the amorphous calcifications may be mistaken for a neoplastic process [4, 24, 26].…”

Section: Clinical Presentationmentioning

confidence: 99%

“…MRI appearance of the calcifications varies depending on the radiographic appearance of the calcifications, and the degree of soft tissue inflammation depends on the stage of the calcifications. In the acutely symptomatic phase, soft tissue edema will typically be seen surrounding the region of calcification (Figure 3(a)) [4, 15, 29]. Discrete, homogeneous calcifications on radiographs appear as homogeneous signal voids on all MRI sequences (Figure 3(b)), while ill-defined inhomogeneous calcifications on radiographs appear as heterogeneous low and intermediate signal on both T1 and fluid sensitive MRI sequences (Figure 3(a)).…”

Section: Imagingmentioning

confidence: 99%

“…The most commonly described area of involvement is the great toe, either presenting medial to the first metatarsophalangeal joint or at the flexor hallucis brevis tendon just proximal to the hallucal sesamoids (Figure 16) [4, 90]. When CADD involves the flexor hallucis brevis, it typically presents with focal tenderness along the plantar forefoot near the first metatarsal head and can be mistaken for hallucal sesamoiditis [4]. CADD of the first metatarsophalangeal joint can mimic gout arthropathy.…”

Section: Locationsmentioning

confidence: 99%

See 1 more Smart Citation

Calcium Apatite Deposition Disease: Diagnosis and Treatment

Beckmann

2016

Radiology Research and Practice

View full text Add to dashboard Cite

Calcium apatite deposition disease (CADD) is a common entity characterized by deposition of calcium apatite crystals within and around connective tissues, usually in a periarticular location. CADD most frequently involves the rotator cuff. However, it can theoretically occur in almost any location in the musculoskeletal system, and many different locations of CADD have been described. When CADD presents in an unexpected location it can pose a diagnostic challenge, particularly when associated with pain or swelling, and can be confused with other pathologic processes, such as infection or malignancy. However, CADD has typical imaging characteristics that usually allows for a correct diagnosis to be made without additional imaging or laboratory workup, even when presenting in unusual locations. This is a review of the common and uncommon presentations of CADD in the appendicular and axial skeleton as well as an updated review of pathophysiology of CADD and current treatments.

show abstract

Non-rotator cuff calcific tendinopathy: ultrasonographic diagnosis and treatment

et al. 2019

View full text Add to dashboard Cite

Calcific tendinopathy is a condition that is related to the deposition of calcium, mostly hydroxyapatite crystals, within the tendons. The shoulder and the hip are commonly affected joints, but calcific tendinopathy may occur in any tendon of the body. While there is an extensive literature on the ultrasound diagnosis of calcific tendinopathy of the shoulder, there are only sporadic reports on other sites. This review combines the experience of our centers and a thorough analysis of the literature from the last 45 years in order to highlight the localizations beyond the rotator cuff, their ultrasound characteristics and therapeutic possibilities.

show abstract

Acute Calcific Tendinosis of the Flexor Hallucis Brevis

Cited by 5 publications

References 27 publications

Acute Severe Hip Pain Associated With Labral Calcific Deposition Disease

Acute Severe Hip Pain Associated With Labral Calcific Deposition Disease

Calcium Apatite Deposition Disease: Diagnosis and Treatment

Non-rotator cuff calcific tendinopathy: ultrasonographic diagnosis and treatment

Contact Info

Product

Resources

About