Sperr Andreas, Erber Bernd, Horng Annie, Glaser Christian
Klinik und Poliklinik für Radiologie, LMU Klinikum, Marchioninistr. 15, 81377, München, Deutschland.
RZM - Radiologisches Zentrum München, München, Deutschland.
Radiologie (Heidelb). 2024 Feb;64(2):125-133. doi: 10.1007/s00117-023-01218-4. Epub 2023 Oct 11.
Calcific tendinitis (TC) is a common-usually self-limiting-musculoskeletal disease, histopathologically characterized by both deposition and subsequent inflammatory breakdown of calcium crystals in tendons. The disease can cause acute, sometimes excruciating pain and restricted movement in the shoulder joint. Furthermore, 10-30% of patients have a complicated course of the disease.
Imaging-based assessment by X‑ray and ultrasound is required to establish the initial diagnosis and differential diagnosis as well as for follow-up.
Magnetic resonance imaging (MRI) and, to a lesser degree, computed tomography (CT) complete the imaging work-up for establishing differential diagnoses and detecting complications.
The combined evaluation of clinical symptoms and imaging findings is crucial to assess prognosis, plan therapy and detect potential complications. This article provides an overview of imaging-based morphology as related to the different stages of TC, relevant complications and potential pitfalls with respect to comorbidities and differential diagnoses.
钙化性肌腱炎（TC）是一种常见的、通常为自限性的肌肉骨骼疾病，其组织病理学特征是肌腱中钙晶体的沉积及随后的炎症性分解。该疾病可导致急性疼痛，有时疼痛难忍，并使肩关节活动受限。此外，10%至30%的患者病程复杂。
需要通过X线和超声进行基于影像的评估，以确立初始诊断、鉴别诊断以及进行随访。
磁共振成像（MRI）以及在较小程度上的计算机断层扫描（CT）完善了用于确立鉴别诊断和检测并发症的影像检查。
临床症状与影像表现的综合评估对于评估预后、制定治疗方案以及检测潜在并发症至关重要。本文概述了与钙化性肌腱炎不同阶段相关的基于影像的形态学、相关并发症以及合并症和鉴别诊断方面的潜在陷阱。
