Urry Kim Calleja, Sant Kurstein Nicholas, Casaletto John Anthony
Department of Orthopaedics, Trauma and Sports Medicine, Mater Dei Hospital, Dun Karm Street, Msida, MSD 2090, Malta.
J Surg Case Rep. 2024 Dec 1;2024(12):rjae751. doi: 10.1093/jscr/rjae751. eCollection 2024 Dec.
Calcific tendinosis is characterized by the deposition of calcium hydroxyapatite crystals within the substance of the tendon. We present a case of a 52-year-old female who presented with a 6-month history of right wrist pain, along with a palpable and tender lump in the region of the flexor carpi radialis tendon at the level of the distal radius. Radiographs confirmed the presence of calcific tendinosis of the flexor carpi radialis tendon. The patient was referred for hand therapy sessions and was prescribed nonsteroidal anti-inflammatory drugs, which led to a gradual improvement after 4 months. A repeat radiograph confirmed the resolution of the previous calcific focus at the flexor carpi radialis tendon region. This case highlights the importance of considering rare causes of wrist pain such as this case. Various treatment modalities are available, including surgical management, but ultimately, treatment should be within a multidisciplinary team environment.
钙化性肌腱病的特征是肌腱组织内存在羟基磷灰石晶体沉积。我们报告一例52岁女性病例，该患者有6个月的右腕疼痛病史，在桡骨远端水平的桡侧腕屈肌腱区域可触及一个压痛性肿块。X线片证实存在桡侧腕屈肌腱钙化性肌腱病。该患者被转介接受手部治疗，并开具了非甾体类抗炎药，4个月后病情逐渐好转。复查X线片证实桡侧腕屈肌腱区域先前的钙化灶已消失。该病例突出了考虑此类罕见的腕部疼痛原因的重要性。有多种治疗方式可供选择，包括手术治疗，但最终治疗应在多学科团队环境中进行。
