Sanford Orthopedics and Sports Medicine, Sioux Falls, South Dakota.
University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
S D Med. 2022 Apr;75(4):166-169.
Acute calcific tendinitis (ACT) is a relatively uncommon disorder that can involve the hand and wrist. ACT is frequently misdiagnosed due to a lack of familiarity with the condition and the clinical presentation that can be confused with other conditions. We report a case of acute calcific tendinitis of the flexor carpi ulnaris (FCU) tendon in a 68-year-old woman. She presented with acute left volar wrist pain, erythema, swelling, and restricted range of motion. Due to her inability to take nonsteroidal anti-inflammatory drugs (NSAIDs) and oral prednisone, she was treated with lavage and steroid injection of the calcified mass. Following the injection, there was dramatic improvement in her symptoms. Cortisone injection with lavage is an accepted treatment for rotator cuff calcific tendinitis and is another treatment option for ACT involving the hand and wrist.
急性钙化性肌腱炎（ACT）是一种相对罕见的疾病，可累及手和腕部。由于对该病缺乏了解以及临床表现可能与其他疾病混淆，因此 ACT 经常被误诊。我们报告了一例 68 岁女性的尺侧腕屈肌（FCU）肌腱急性钙化性肌腱炎病例。她表现为急性左腕掌侧疼痛、红斑、肿胀和活动范围受限。由于她无法服用非甾体抗炎药（NSAIDs）和口服泼尼松，因此对她进行了钙化块冲洗和类固醇注射治疗。注射后，她的症状明显改善。皮质类固醇注射联合冲洗是治疗肩袖钙化性肌腱炎的一种公认方法，也是治疗手部和腕部 ACT 的另一种选择。
