Surgical management of chronic calcific deposit resembling tendon sheath infection in the index finger: A rare case report and literature review

Author:

Guo Deming,Yang Jingjing,Liu Xiaoning

Abstract

BackgroundCalcific tendonitis rarely occurs in the fingers, and it is easily misdiagnosed. Herein we describe the case of a patient with multiple calcific lesions within the flexor digitorum superficialis and the extensor digitorum tendons of the distal interphalangeal joints of the right index finger, and the surgical treatment of those lesions.Case presentationThe patient was a 66-year-old man who reported pain and swelling in his right index finger for one year. He was diagnosed with chronic calcific tendonitis based on his symptoms and radiology images. He was successfully treated surgically, and histopathological examination confirmed the diagnosis. After one month, the patient had healed well, and there was no recurrence.ConclusionsThis is the first report of a patient suffering from chronic calcific tendonitis in a finger who failed conservative treatment and was successfully treated with surgery. The outcome demonstrates that surgical debridement can yield a good outcome in patients with chronic calcific tendonitis.

Publisher

Frontiers Media SA

Subject

Surgery

Reference31 articles.

1. Calcifying tendinitis: a new concept of its pathogenesis;Uhthoff;Clin Orthop Relat Res,1976

2. Peritendintis calcarea. A common disease of middle life: its diagnosis, pathology and treatment;Sandstrom;AJR,1938

3. Calcific tendinitis and soft-tissue calcification resembling gout;Thompson;JAMA,1968

4. Acute calcific tendinitis of the hand: an infrequently recognized and frequently misdiagnosed form of periarthritis;Selby;Arthritis Rheum,1984

5. Calcium apatite deposition disease: diagnosis and treatment;Beckmann;Radiol Res Pract,2016

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