Macurak R B, Goldman J A, Hirsh E, Payne M, Francis B, Rubin H, Haun C
South Med J. 1980 Mar;73(3):322-5. doi: 10.1097/00007611-198003000-00014.
Acute calcific quadriceps tendinitis can be the cause of acute periarthritis of the knee. Physical examination can detect cellulitis and a tender tendon sheath. Lateral roentgenograms of soft tissues show thickening of the tendon and sometimes small flecks of amorphous calcification within the body of the tendon near the attachment. Although hyperostosis of the patella near the tendon attachment is often present, it is well defined ossification and not associated with the acute symptoms. The amorphous calcium deposits quickly disappear during the acute tendinitis and are not detected on follow-up radiologic examination.
急性钙化性股四头肌肌腱炎可能是膝关节急性周围关节炎的病因。体格检查可发现蜂窝织炎和压痛的腱鞘。软组织的外侧X线片显示肌腱增厚,有时在肌腱附着处附近的肌腱体内可见小片状无定形钙化。虽然在肌腱附着处附近的髌骨常有骨质增生,但它是边界清晰的骨化,与急性症状无关。在急性肌腱炎期间,无定形钙沉积会迅速消失,在后续的影像学检查中无法检测到。