儿童示指急性钙化性肌腱炎
Acute Calcific Tendinitis of the Index Finger in a Child.
作者信息
Walocko Frances M, Sando Ian C, Haase Steven C, Kozlow Jeffrey H
机构信息
1 University of Michigan, Ann Arbor, MI, USA.
出版信息
Hand (N Y). 2017 Sep;12(5):NP84-NP87. doi: 10.1177/1558944716675146. Epub 2016 Oct 21.
BACKGROUND
Calcific tendinitis is characterized by calcium hydroxyapatite crystal deposition within tendons and is a common cause of musculoskeletal pain in adults. Its clinical manifestations may be acute, chronic, or asymptomatic. Acute calcific tendinitis is self-resolving condition that is rarely reported in the pediatric population and may be overlooked for more common processes, leading to unnecessary treatment.
METHODS
A chart reivew was performed of a single case of acute calcific tendonitis of the index finger in a child.
RESULTS
We describe a case of calcific tendinitis of the index finger in a 9-year-old boy who was referred to us for a second opinion after surgical exploration of an acutely inflamed digit was recommended based on his initial presentation. The calcifications and symptoms resolved over time without operative management.
CONCLUSIONS
Although rare in children, acute calcific tendinitis can present similar to an infection. However, appropriate managment is non-operative as the symptoms and radiographic findings resolve over time.
背景
钙化性肌腱炎的特征是肌腱内有羟基磷灰石晶体沉积，是成人肌肉骨骼疼痛的常见原因。其临床表现可能为急性、慢性或无症状。急性钙化性肌腱炎是一种可自行缓解的疾病，在儿科人群中很少见，可能会因更常见的病症而被忽视，导致不必要的治疗。
方法
对一名儿童食指急性钙化性肌腱炎的单一病例进行了病历回顾。
结果
我们描述了一名9岁男孩食指钙化性肌腱炎的病例，根据其最初表现，在建议对急性发炎手指进行手术探查后，他被转介给我们寻求第二种意见。钙化和症状随着时间推移而缓解，无需手术治疗。
结论
虽然急性钙化性肌腱炎在儿童中罕见，但可表现出类似感染的症状。然而，由于症状和影像学表现会随着时间推移而缓解，适当的治疗方法是非手术治疗。
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