Uhthoff HK, Loehr JW
Department of Surgery, University of Ottawa, Ottawa, Ontario, Canada.
J Am Acad Orthop Surg. 1997 Jul;5(4):183-191. doi: 10.5435/00124635-199707000-00001.
Calcific tendinopathy, or calcifying tendinitis, is a disease characterized by multifocal, cell-mediated calcification of living tissue. After spontaneous disappearance of the calcific deposits or, less frequently, surgical removal, the tendon reconstitutes itself. Attention to the clinical presentation and the radiologic, morphologic, and gross characteristics of the calcium deposit will facilitate differentiation between the formative phase and the resorptive phase, which is of paramount importance in the management of this disease. Should conservative treatment fail, surgical removal may be indicated during the formative phase, but only under exceptional circumstances during the resorptive phase. Aspiration and lavage of the deposit should be performed only during the latter phase.
钙化性肌腱病，或钙化性腱鞘炎，是一种以活组织多灶性、细胞介导的钙化为特征的疾病。在钙化沉积物自发消失后，或较少见的情况下经手术切除后，肌腱会自行修复。关注钙化沉积物的临床表现以及放射学、形态学和大体特征，将有助于区分形成期和吸收期，这在该疾病的治疗中至关重要。如果保守治疗失败，在形成期可能需要进行手术切除，但仅在吸收期的特殊情况下才进行。沉积物的抽吸和冲洗仅应在吸收期进行。
