Acute Calcific Tendinitis of the Forefoot in Young Women- A Presentation of Two Cases

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Hession E ◽  
◽  
Ryan J ◽  
Keyword(s):  
Young Women ◽  
Acute Pain ◽  
Martial Arts ◽  
Return To Sport ◽  
Acute Onset ◽  
Calcific Tendinitis ◽  
Symptom Improvement ◽  
Intralesional Injection ◽  
Uncommon Presentation ◽  
Acute Calcific Tendinitis

Introduction: Calcific tendinitis is an uncommon presentation in the forefoot with relatively few cases reported in the medical literature. It is commonly overlooked and should form part of a differential diagnosis when assessing patients presenting with acute pain of the forefoot localised to a single joint or tendon. We present two cases of young women involved in amateur running and martial arts respectively who presented with acute pain of their forefoot. Case Description: These 2 cases describe a 44 year old amateur female runner and 23 year old female martial arts athlete who presented with acute onset of pain affecting the dorsal aspect of their great toe interphalangeal joint and base of 1st metatarsal respectively. Both patients had tender erythematous swellings at the site of pain and difficulty weightbearing. Plain radiography revealed areas of calcification at the respective sites which was confirmed with ultrasound. Both patients underwent US guided corticosteroid injections with significant symptom improvement within 48 hours of injections and rapid return to sport. Discussion: These two cases demonstrate an atypical presentation of acute calcific tendinitis affecting the forefoot and add two more cases to the reported literature. Combining the characteristic clinical presentation of acute pain affecting a tendon or joint with a tender erythematous swelling on examination with the typical radiographic features of calcification can promptly diagnose this often misdiagnosed condition and avoid unnecessary investigations. Conservative treatment and intralesional injection with corticosteroids can lead to rapid resolution and favourable patient outcomes.

scholarly journals Seasonal Variation in the Onset of Acute Calcific Tendinitis of Rotator Cuff

2020 ◽  
Author(s):  
Ryogo Furuhata ◽  
Noboru Matsumura ◽  
Akira Yoshiyama ◽  
Yusaku Kamata ◽  
Masaaki Takahashi ◽  
...  
Keyword(s):  
Seasonal Variation ◽  
Rotator Cuff ◽  
Acute Onset ◽  
Calcific Tendinitis ◽  
Onset Date ◽  
Clinical Notes ◽  
Monthly Temperature ◽  
New Information ◽  
Acute Calcific Tendinitis ◽  
Calcium Resorption

Abstract BackgroundCalcific tendinitis of the rotator cuff is a common disorder that causes acute onset of shoulder pain when spontaneous resorption of the calcification occurs.However, factors that triggercalcium resorption have not been clarified. The present study aimed to investigate the association between the onset of calcium resorption in calcific tendinitis and the season of onset.MethodsWe retrospectively reviewed200 patients (female, 120; male, 80; mean age, 62.8 ± 14.2 years) diagnosed with acute calcific tendinitis between 2006 and 2018. The onset date of acute calcific tendinitis for each patient was collected from clinical notes. The incidence of acute calcific tendinitis in each season and month and the correlation between the incidence of acute calcific tendinitis and the mean monthly temperature or humidity levels were evaluated.Results The most common season of acute calcific tendinitis onset was summer (35.5%), followed by spring (24.5%), autumn (24.0%), and winter (16.0%) (P = 0.002). Monthly analyses showed the highest peak of onset was in July (15.5%) and the lowest peak was in February (3.0%) (P = 0.018).The incidence of acute calcific tendinitis had a weak association with mean monthly temperature (R2 = 0.074; P = 0.001), but was not associated with mean monthly humidity levels (R2 = 0.024; P = 0.055).ConclusionsThis study provides new information on seasonal variation of acute calcific tendinitis onset. The results of this study indicated that the onset of calcium resorption occurs most frequently in the summer in Japan; however, the reasons for seasonal variation remain unclear, and further studies will be needed.

scholarly journals Seasonal Variation in the Onset of Acute Calcific Tendinitis of Rotator Cuff

2020 ◽  
Author(s):  
Ryogo Furuhata ◽  
Noboru Matsumura ◽  
Akira Yoshiyama ◽  
Yusaku Kamata ◽  
Masaaki Takahashi ◽  
...  
Keyword(s):  
Seasonal Variation ◽  
Rotator Cuff ◽  
Acute Onset ◽  
Calcific Tendinitis ◽  
Onset Date ◽  
Clinical Notes ◽  
Monthly Temperature ◽  
New Information ◽  
Acute Calcific Tendinitis ◽  
Calcium Resorption

Abstract Background Calcific tendinitis of the rotator cuff is a disorder that causes acute onset of shoulder pain when spontaneous resorption of the calcification occurs. However, factors that trigger calcium resorption have not been clarified. The present study aimed to investigate the association between the onset of calcium resorption in calcific tendinitis and the season of onset.Methods We retrospectively reviewed 195 patients (female, 116; male, 79; mean age, 62.6 ± 14.2 years; median age, 62 [52, 73] years) diagnosed with the postcalcification stage of calcific tendinitis, which was defined as acute calcific tendinitis in this study, between 2006 and 2018. The onset date of acute calcific tendinitis for each patient was collected from clinical notes. We evaluated the incidence of acute calcific tendinitis in each season and month. Furthermore, we investigated the correlation between the incidence of acute calcific tendinitis and the mean monthly temperature or humidity levels for each year.Results The most common season of acute calcific tendinitis onset was summer (35.4%), followed by spring (24.6%), autumn (24.1%), and winter (15.9%) (P = 0.002). Monthly analyses showed the highest peak of onset was in July (15.4%) and the lowest peak was in February (3.1%) (P = 0.022). The incidence of acute calcific tendinitis had a weak association with mean monthly temperature (R2 = 0.066; P = 0.001) but was not associated with mean monthly humidity levels (R2 = 0.018; P = 0.099).Conclusions This study provides new information on seasonal variation of acute calcific tendinitis onset. The results of this study indicated that the onset of calcium resorption occurs most frequently in the summer in Japan; however, the reasons for seasonal variation remain unclear, and further studies will be needed.

scholarly journals Role of Radiographs and Ultrasound in Diagnosing Calcific Tendinitis and Periarthritis in the Wrist and Hand with Ultrasound-Guided Barbotage as Management Tool

2021 ◽  
Author(s):  
Ankita Ahuja ◽  
Malini Lawande ◽  
Aditya R. Daftary
Keyword(s):  
Retrospective Chart Review ◽  
Acute Onset ◽  
Calcific Tendinitis ◽  
Management Tool ◽  
Lateral Aspect ◽  
Abductor Pollicis Brevis ◽  
Flexor Carpi Ulnaris ◽  
Acute Calcific Tendinitis ◽  
Delayed Relief

Abstract Aim To demonstrate the role of radiographs and ultrasound (USG) in the diagnosis of calcific tendinitis and periarthritis in the wrist and hand and the efficacy of USG-guided barbotage for its management. Materials and Methods A retrospective chart review was performed in six patients who presented with acute-onset pain in the wrist and hand varying from 3 days to 2 weeks. Four patients had tenderness over pisiform and two patients had pain along the lateral aspect of the wrist and thumb. Radiographs and USG revealed calcific focus corresponding to the site of pain. USG-guided calcific barbotage and injection was performed for the same and pain relief was assessed immediately and through telephonic follow-up at 6 months using subjective satisfaction score. Data were analyzed using Microsoft Excel 2013. Results Four patients with tenderness over pisiform had flexor carpi ulnaris calcific tendinitis and two patients with pain along the lateral aspect of the wrist and thumb had first metacarpophalangeal calcific periarthritis and abductor pollicis brevis calcific tendinitis on radiographs as well as USG. In post-USG-guided calcific barbotage and injection, all patients had significant immediate and 6 months delayed relief in symptoms with excellent satisfaction scores. Conclusion Acute calcific tendinitis/periarthritis is a benign and self-limiting inflammatory condition. Radiographs are extremely helpful in identifying calcific focus. Ultrasonography in experienced hands is the best modality to identify, confirm the symptomatic calcific focus, and perform USG-guided intervention. USG-guided calcific barbotage is the simplest, quickest, and effective way to treat this condition and avoid compromised functional capacity.

scholarly journals Seasonal Variation in the Onset of Acute Calcific Tendinitis of Rotator Cuff

2020 ◽  
Author(s):  
Ryogo Furuhata ◽  
Noboru Matsumura ◽  
Akira Yoshiyama ◽  
Yusaku Kamata ◽  
Masaaki Takahashi ◽  
...  
Keyword(s):  
Seasonal Variation ◽  
Rotator Cuff ◽  
Acute Onset ◽  
Calcific Tendinitis ◽  
Onset Date ◽  
Clinical Notes ◽  
Monthly Temperature ◽  
New Information ◽  
Acute Calcific Tendinitis ◽  
Calcium Resorption

Abstract Background Calcific tendinitis of the rotator cuff is a disorder that causes acute onset of shoulder pain when spontaneous resorption of the calcification occurs. However, factors that trigger calcium resorption have not been clarified. The present study aimed to investigate the association between the onset of calcium resorption in calcific tendinitis and the season of onset. Methods We retrospectively reviewed 195 patients ( female, 116; male, 79; mean age, 62.6 ± 14.2 years; median age, 62 [52, 73] years) diagnosed with the postcalcification stage of calcific tendinitis, which was defined as acute calcific tendinitis in this study, between 2006 and 2018. The onset date of acute calcific tendinitis for each patient was collected from clinical notes. We evaluated the incidence of acute calcific tendinitis in each season and month. Furthermore, we investigated the correlation between the incidence of acute calcific tendinitis and the mean monthly temperature or humidity levels for each year. Results The most common season of acute calcific tendinitis onset was summer (35.4%), followed by spring (24.6%), autumn (24.1%), and winter (15.9%) ( P = 0.002). Monthly analyses showed the highest peak of onset was in July (15.4%) and the lowest peak was in February (3.1%) ( P = 0.022). The incidence of acute calcific tendinitis had a weak association with mean monthly temperature (R 2 = 0.066; P = 0.001) but was not associated with mean monthly humidity levels (R 2 = 0.018; P = 0.099). Conclusions This study provides new information on seasonal variation of acute calcific tendinitis onset. The results of this study indicated that the onset of calcium resorption occurs most frequently in the summer in Japan; however, the reasons for seasonal variation remain unclear, and further studies will be needed.

scholarly journals Seasonal variation in the onset of acute calcific tendinitis of rotator cuff

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Ryogo Furuhata ◽  
Noboru Matsumura ◽  
Akira Yoshiyama ◽  
Yusaku Kamata ◽  
Masaaki Takahashi ◽  
...  
Keyword(s):  
Seasonal Variation ◽  
Rotator Cuff ◽  
Acute Onset ◽  
Calcific Tendinitis ◽  
Onset Date ◽  
Level Of Evidence ◽  
Monthly Temperature ◽  
New Information ◽  
Acute Calcific Tendinitis ◽  
Calcium Resorption

Abstract Background Calcific tendinitis of the rotator cuff is a disorder that causes acute onset of shoulder pain when spontaneous resorption of the calcification occurs. However, factors that trigger calcium resorption have not been clarified. The present study aimed to investigate the association between the onset of calcium resorption in calcific tendinitis and the season of onset. Methods We retrospectively reviewed 195 patients (female, 116; male, 79; mean age, 62.6 ± 14.2 years; median age, 62 [52, 73] years) diagnosed with the postcalcification stage of calcific tendinitis, which was defined as acute calcific tendinitis in this study, between 2006 and 2018. The onset date of acute calcific tendinitis for each patient was collected from clinical notes. We evaluated the incidence of acute calcific tendinitis in each season and month. Furthermore, we investigated the correlation between the incidence of acute calcific tendinitis and the mean monthly temperature or humidity levels for each year. Results The most common season of acute calcific tendinitis onset was summer (35.4%), followed by spring (24.6%), autumn (24.1%), and winter (15.9%) (P = 0.002). Monthly analyses showed the highest peak of onset was in July (15.4%) and the lowest peak was in February (3.1%) (P = 0.022). The incidence of acute calcific tendinitis had a weak association with mean monthly temperature (R2 = 0.066; P = 0.001) but was not associated with mean monthly humidity levels (R2 = 0.018; P = 0.099). Conclusions This study provides new information on seasonal variation of acute calcific tendinitis onset. The results of this study indicated that the onset of calcium resorption occurs most frequently in the summer in Japan; however, the reasons for seasonal variation remain unclear, and further studies will be needed. Level of evidence Level III.

scholarly journals Diagnostic Dilemma: Acute Calcific Tendinitis of Flexor Digitorum Profundus

Hand ◽  
2013 ◽  
Vol 8 (3) ◽  
pp. 352-353 ◽  
Author(s):  
Ankur Munjal ◽  
Pooja Munjal ◽  
Abhijeet Mahajan
Keyword(s):  
Calcific Tendinitis ◽  
Flexor Digitorum Profundus ◽  
Diagnostic Dilemma ◽  
Acute Calcific Tendinitis ◽  
Flexor Digitorum

Aneurysm of sinus of Valsalva: uncommon presentation

2011 ◽  
Vol 19 (6) ◽  
pp. 422-426
Author(s):  
Raja Saravanan Elumalai ◽  
Kirthivasan Vaidyanathan ◽  
Madhu Sankar Nainar ◽  
Govini Balasubramaniam ◽  
Susan George
Keyword(s):  
Chest Pain ◽  
Cardiac Tamponade ◽  
Transthoracic Echocardiography ◽  
Surgical Repair ◽  
Interventricular Septum ◽  
Acute Onset ◽  
Sinus Of Valsalva ◽  
Uncommon Presentation

A 28-year-old man presented with acute onset of chest pain. Transthoracic echocardiography confirmed an aneurysm of the sinus of Valsalva dissecting into the interventricular septum. During the next 12 h, the aneurysm enlarged to involve the entire interventricular septum, and the patient developed features of cardiac tamponade. He underwent successful surgical repair.

scholarly journals Acute calcific tendinitis of the peroneus longus tendon

Injury Extra ◽  
2005 ◽  
Vol 36 (10) ◽  
pp. 426-427 ◽  
Author(s):  
M.D. Brinsden ◽  
J.H. Wilson
Keyword(s):  
Calcific Tendinitis ◽  
Peroneus Longus Tendon ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Acute Calcific Tendinitis

scholarly journals Diagnosis and treatment of calcific tendinitis of the shoulder

2020 ◽  
Vol 23 (4) ◽  
pp. 203-209
Author(s):  
Min-Su Kim ◽  
In-Woo Kim ◽  
Sanghyeon Lee ◽  
Sang-Jin Shin
Keyword(s):  
Conservative Treatment ◽  
Shoulder Pain ◽  
Treatment Options ◽  
Review Article ◽  
Calcific Tendinitis ◽  
Diagnosis And Treatment ◽  
Appropriate Treatment ◽  
Acute Calcific Tendinitis ◽  
Calcific Deposits ◽  
Pain Patients

Calcific tendinitis is the leading cause of shoulder pain. Among patients with calcific tendinitis, 2.7%–20% are asymptomatic, and 35%–45% of patients whose calcific deposits are inadvertently discovered develop shoulder pain. If symptoms are present, complications such as decreased range of motion of the shoulder joint should be minimized while managing pain. Patients with acute calcific tendinitis respond well to conservative treatment and rarely require surgery. In contrast, patients with chronic calcific tendinitis often do not respond to conservative treatment and do require surgery. Clinical improvement takes time, even after surgical treatment. This review article summarizes the processes related to the diagnosis and treatment of calcific tendinitis with the aim of helping clinicians choose appropriate treatment options for their patients.

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