Summary
The authors describe a 24-year-old woman presenting with swelling and pain of several finger joints. Roentgenograms showed periarticular, calcific deposits at all locations of swelling. One such deposit revealed the presence of hydroxyapatite crystals on X-ray diffraction. After two injections of corticosteroids in and around one deposit its size and density diminished rapidly, whereas the uninjected corresponding site of the other hand showed no initial improvement; after two years no difference was discernible. Under systemic and topic NSAIDs, pain and swelling improved similarly in all joints. In conclusion, periarthritis of the fingers associated with radiopaque deposits responded favourably to NSAID therapy, while local corticosteroid injections showed no additional benefit.
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References
Daniel, W.W. Acute peritendinitis calcarea. Arthritis Rheum 1989, 32, 767–769.
Haun, C.L. Retropharyngeal tendinitis. Am J Roentgenol 1978, 130, 1137–1140.
Dieppe, P.A., Crocker, P., Huskisson, E.C., Willoughby, D.A. Apatite deposition disease. A new arthropathy. Lancet 1976, 1, 266–269.
Gerster, J.C., Fallet, G.H. Periarticular hand hydroxyapatite deposition after corticosteroid injections. J Rheumatol 1987, 14, 1156–1159.
Schumacher, H.R., Miller, J.L., Ludivico, C., Jessar, R.A. Erosive arthritis associated with apatite crystal deposition. Arthritis Rheum 1981, 24, 31–37.
Sandström, C. Peritendinitis calcarea. Am J Roentgenol 1938, 40, 1–21.
Cooper, W. Calcareous tendinitis in the metacarpophalangeal region. J Bone Joint Surg 1942, 24, 114–122.
Hayes, C.W., Rosenthal, D.I., Plata, MJ., Hudson, T.M. Calcific tendinitis in unusual sites associated with cortical bone erosion. AJR 1987, 149, 967–970.
Kandel, R.A., Cheng, P.T., Pritzker, K.P.H. Localized apatite synovitis of the wrist. J Rheumatol 1986, 13, 667–669.
Marcos, J.C., De Benyacar, M.A., Garcia-Morteo, O., Arturi, A.S., Maldonado-Cocco, J.A., Morales, V.H., Laguens, R.P. Idiopathic familial chondrocalcinosis due to apatite crystal deposition. Am J Med 1981, 71, 557–564.
Resnick, D. Calcium hydroxyapatite crystal deposition disease. In: Diagnosis of Bone and Joint Disorders. Eds.: Resnick D, Niwayama G. Philadelphia, W.B. Saunders, 1988, 1733–1764.
Fam, A.G., Pritzker, K.P.H., Stein, J.L., Houpt, J.B., Little, A.H. Apatite-associated arthropathy. J Rheumatol 1979, 6, 461–471.
Moyer, R.A., Bush, D.C., Harrington, T.M. Acute calcific tendinitis of the hand and wrist. J Rheumatol 1989, 16, 198–202.
Balasubramaniam, P., Prathap, K. The effect of injection of hydrocortisone into rabbit calcaneal tendons. J Bone Joint Surg 1972, 54B, 729–734.
Raccaud, O., Gerster, J. Ténosynovites apatitiques des mains. Schweiz Rundschau Med (PRAXIS) 1991, 80, 118–120.
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Weber, M., Gerber, H. Calcific periarthritis of the finger verified by X-ray diffraction of apatite. Clin Rheumatol 12, 95–99 (1993). https://doi.org/10.1007/BF02231568
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DOI: https://doi.org/10.1007/BF02231568