Acute Calcific Tendinitis of the Abductor Pollicis Brevis in the Hand

Gi-Huk Moon; Ki-Choul Kim; Je-Min Yi

doi:10.4055/jkoa.2012.47.5.387

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Moon, Kim, and Yi: Acute Calcific Tendinitis of the Abductor Pollicis Brevis in the Hand

Case Report

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2012; 47(5): 387-391.

Published online: 30 October 2012

DOI: https://doi.org/10.4055/jkoa.2012.47.5.387

Acute Calcific Tendinitis of the Abductor Pollicis Brevis in the Hand

Gi-Huk Moon, M.D.^*, Ki-Choul Kim, M.D., Je-Min Yi, M.D.

Department of Orthopedic Surgery, Dankook University Hospital, Dankook University Medical College, Cheonan, Korea.

^*Department of Orthopedic Surgery, Pohang St. Mary's Hospital, Pohang, Korea.

Correspondence to: Ki-Choul Kim, M.D. Department of Orthopedic Surgery, Dankook University School of Medicine, 201, Manghyang-ro, Dongnam-gu, Cheonan 330-715, Korea. TEL: +82-41-550-6290, FAX: +82-41-550-6319, puhoo73@hanmaill.net

Received 17 February 2012 Revised 7 March 2012 Accepted 14 March 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acute calcific tendinitis in the hand is a very rare disease. We experienced two cases of acute calcific tendinitis of the abductor pollicis brevis in the hand. Both of the patients experienced pain, edema and erythema on radial side of metacarpophalangeal joint of thumb. We successfully treated the condition with aspiration and steroid injection under the ultrasonographic examination and subsequently, applied the casts. An improvement of the symptoms was observed with good results. In the present work, we report these cases with appropriate review of literatures.

Keywords: calcific tendinitis, metacarpophalangeal joint, ultrasonography

Figures and Tables

Figure 1

Radiograph of the right hand reveals calcification along the course of the abductor pollicis brevis tendon (arrow).

Figure 2

Calcification was identified above abductor pollicis tendon at ultrasonography (arrow).

Figure 3

Radiograph after 1 week shows disappearance of the calcification.

Figure 4

Radiograph of the left hand reveals calcification along the course of the abductor pollicis brevis tendon (arrow).

Figure 5

Magnetic resonance imaging shows a low intensity on axial T2-weighted image (arrow).

Figure 6

Radiograph after 2 weeks shows disappearance of the calcification.

References

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