Gerster J C
Service de rhumatologie, medecine physique et réhabilitation, CHUV, I011 Lausanne.
Rev Med Suisse. 2007 Mar 21;3(103):747-50, 752.
Deposition of apatite crystals can be observed as calcific periarthritis and articular calcifications. Deposition of these crystals in the tendons and bursae of the rotator cuff of the shoulder is found in about 3% of adults; it is most of the time asymptomatic. Calcifications often totally disappear after an acute flare up. Intraarticular apatite crystals can be identified in synovial fluids of patients with severe destructive osteoarthrosis, mainly of the shoulder joints. Management with NSAID's and local corticosteroid injections is often very helpful. In rare cases the aspiration with a needle of a calcification or an operative removal is necessary.
磷灰石晶体沉积可表现为钙化性肩周炎和关节钙化。这些晶体沉积在肩部旋转袖套的肌腱和滑囊中,在约3%的成年人中可见;大多数情况下无症状。钙化在急性发作后常完全消失。在严重破坏性骨关节炎患者的滑液中,主要是肩关节患者的滑液中可发现关节内磷灰石晶体。使用非甾体抗炎药和局部注射皮质类固醇进行治疗通常非常有效。在极少数情况下,需要用针抽吸钙化灶或进行手术切除。