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食指慢性钙化沉积类似腱鞘感染的手术治疗:1例罕见病例报告及文献综述

Surgical management of chronic calcific deposit resembling tendon sheath infection in the index finger: A rare case report and literature review.

作者信息

Guo Deming, Yang Jingjing, Liu Xiaoning

机构信息

Orthopaedic Medical Center, Second Hospital of Jilin University, Changchun, China.

Operating Room, Second Hospital of Jilin University, Changchun, China.

出版信息

Front Surg. 2023 Apr 19;10:1119612. doi: 10.3389/fsurg.2023.1119612. eCollection 2023.

Abstract

BACKGROUND

Calcific tendonitis rarely occurs in the fingers, and it is easily misdiagnosed. Herein we describe the case of a patient with multiple calcific lesions within the flexor digitorum superficialis and the extensor digitorum tendons of the distal interphalangeal joints of the right index finger, and the surgical treatment of those lesions.

CASE PRESENTATION

The patient was a 66-year-old man who reported pain and swelling in his right index finger for one year. He was diagnosed with chronic calcific tendonitis based on his symptoms and radiology images. He was successfully treated surgically, and histopathological examination confirmed the diagnosis. After one month, the patient had healed well, and there was no recurrence.

CONCLUSIONS

This is the first report of a patient suffering from chronic calcific tendonitis in a finger who failed conservative treatment and was successfully treated with surgery. The outcome demonstrates that surgical debridement can yield a good outcome in patients with chronic calcific tendonitis.

摘要

背景

钙化性肌腱炎很少发生于手指,且容易误诊。在此我们描述一例患者,其右示指远节指间关节的指浅屈肌腱和指伸肌腱内有多处钙化性病变,以及对这些病变的手术治疗。

病例介绍

患者为一名66岁男性,自述右示指疼痛、肿胀1年。根据其症状和影像学图像,诊断为慢性钙化性肌腱炎。他接受手术治疗后成功康复,组织病理学检查确诊。1个月后,患者愈合良好,无复发。

结论

这是首例手指慢性钙化性肌腱炎患者保守治疗失败后手术成功的报告。结果表明,手术清创对慢性钙化性肌腱炎患者可产生良好疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3453/10154564/0532c816396c/fsurg-10-1119612-g001.jpg

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