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[病历讨论] 肩袖钙化性肌腱病

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发表于 2021-6-7 20:00:09 | 显示全部楼层 |阅读模式

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介绍
左肩的慢性疼痛

患者资料
年龄:60岁
性别:女

X射线
1.jpeg
正位
肩峰下间隙大小不等、边缘光滑的钙化区。盂肱关节得以保留。

案例讨论

肩峰下间隙的钙化区域与肩袖钙化性腱病变最为一致。

钙化性肌腱炎是一种自限性疾病,由于钙羟基磷灰石沉积在肌腱内,通常是在肩袖。这是一种常见的表现羟基磷灰石晶体沉积病(HADD)。

流行病学

一般情况下,这种情况会影响30到60岁之间的中年患者,对女性有轻微的偏好。

病理

钙化性肌腱炎是由于羟基磷灰石钙沉积在肌腱内引起的,被认为是由于氧张力降低,导致纤维软骨化生和二次矿化。

参考资料:
1. Serafini G, Sconfienza LM, Lacelli F et-al. Rotator cuff calcific tendonitis: short-term and 10-year outcomes after two-needle us-guided percutaneous treatment--nonrandomized controlled trial. Radiology. 2009;252 (1): 157-64. doi:10.1148/radiol.2521081816 - Pubmed citation
2. Speed CA, Hazleman BL. Calcific tendinitis of the shoulder. N. Engl. J. Med. 1999;340 (20): 1582-4. doi:10.1056/NEJM199905203402011 - Pubmed citation
3. Loew M, Sabo D, Wehrle M et-al. Relationship between calcifying tendinitis and subacromial impingement: a prospective radiography and magnetic resonance imaging study. J Shoulder Elbow Surg. 5 (4): 314-9. J Shoulder Elbow Surg (link) - Pubmed citation
4. Riley GP, Harrall RL, Constant CR et-al. Prevalence and possible pathological significance of calcium phosphate salt accumulation in tendon matrix degeneration. Ann. Rheum. Dis. 1996;55 (2): 109-15. doi:10.1136/ard.55.2.109 - Free text at pubmed - Pubmed citation
5. Jim YF, Hsu HC, Chang CY et-al. Coexistence of calcific tendinitis and rotator cuff tear: an arthrographic study. Skeletal Radiol. 1993;22 (3): 183-5. - Pubmed citation
6. Re LP, Karzel RP. Management of rotator cuff calcifications. Orthop. Clin. North Am. 1993;24 (1): 125-32. - Pubmed citation
7. Rupp S, Seil R, Kohn D. Preoperative ultrasonographic mapping of calcium deposits facilitates localization during arthroscopic surgery for calcifying tendinitis of the rotator cuff. Arthroscopy. 14 (5): 540-2. Arthroscopy (link) - Pubmed citation
8. Uhthoff HK, Loehr JW. Calcific Tendinopathy of the Rotator Cuff: Pathogenesis, Diagnosis, and Management. J Am Acad Orthop Surg. 1997;5 (4): 183-191. J Am Acad Orthop Surg (abstract) - Pubmed citation
9. Farin PU. Consistency of rotator-cuff calcifications. Observations on plain radiography, sonography, computed tomography, and at needle treatment. Invest Radiol. 1996;31 (5): 300-4. Invest Radiol (link) - Pubmed citation
10. Friedman SN, Margau R, Friedman L. Acute calcific periarthritis of the thumb: Correlated sonographic and radiographic findings. (2018) Radiology case reports. 13 (1): 205-207. doi:10.1016/j.radcr.2017.08.015 - Pubmed
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