超声检查首次发现肘部钙化性肌腱病：病例报告。
Elbow calcific tendinosis initially detected by ultrasonography: a case report.
机构信息
Rasool_Akram Hospital, Radiology Department, Iran University of Medical Sciences, SattarKhan St., Tehran, Iran.
Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Med Case Rep. 2024 Feb 26;18(1):75. doi: 10.1186/s13256-024-04381-x.
INTRODUCTION
Calcific tendinosis is a common condition caused by the deposition of hydroxyapatite crystals within the tendons that can impact any tendinous insertion. In this situation, ultrasound (US) may be a viable imaging modality in addition to radiography.
CASE PRESENTATION
A 56-year-old Iranian male presented with left elbow pain. US evaluation at the lump site revealed a subcutaneous lipoma. Ultrasonography showed a thickened and diffusely heterogeneously hypoechoic pronator teres tendon. These characteristics were consistent with the diagnosis of calcific tendinosis.
DISCUSSION AND CONCLUSION
Radiography is the most common and practical imaging modality for calcific tendinosis diagnosis. Despite this, the real-time nature of ultrasonography makes it both diagnostic and therapeutic in this condition. Other conditions, such as lipoma, may interfere with the proper diagnosis of calcific tendinosis.
简介
钙化性肌腱病是一种常见的病症，由羟基磷灰石晶体在肌腱内沉积引起，可影响任何肌腱附着点。在这种情况下，超声（US）除了放射摄影之外，也可能是一种可行的成像方式。
病例介绍
一名 56 岁的伊朗男性出现左侧肘部疼痛。肿块部位的超声评估显示皮下脂肪瘤。超声显示旋前圆肌肌腱增厚且弥漫性不均匀低回声。这些特征与钙化性肌腱病的诊断一致。
讨论和结论
放射摄影是钙化性肌腱病诊断最常用和实用的成像方式。尽管如此，超声的实时性质使其在这种情况下具有诊断和治疗作用。其他情况，如脂肪瘤，可能会干扰钙化性肌腱病的正确诊断。
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