Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... · 2021
[Acute calcific periarthritis - a differential diagnosis of pyoarthrosis of the hand].
СтатьяНазвание и аннотация: Перевод в очереди
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Illg Claudius, Schäfer Ruth Christine, Daigeler Adrien, Krauss Sabrina
Аннотация
BACKGROUND: The acute calcific periarthritis is caused by hydroxyapatite deposits in the periarticular soft tissue.The symptoms resemble a pyoarthrosis, explaining high rates of misdiagnosis.
PATIENTS: Presented are the cases of a 45 and a 46 years old patient, who presented with acute onset of swelling, erythema, functional impairment and pain of the hand. Periarticular calcifications were identified radiologically.
RESULTS: The symptoms completely resolved in both patients within few days under conservative treatment.
CONCLUSION: The acute calcific periarthritis should be considered as a differential diagnosis of pyoarthrosis in the hand, especially if no suitable trauma preceeded. Usually conservative treatment with immobilization and antiphlogistic drugs rapidly leads to a complete remission.
PATIENTS: Presented are the cases of a 45 and a 46 years old patient, who presented with acute onset of swelling, erythema, functional impairment and pain of the hand. Periarticular calcifications were identified radiologically.
RESULTS: The symptoms completely resolved in both patients within few days under conservative treatment.
CONCLUSION: The acute calcific periarthritis should be considered as a differential diagnosis of pyoarthrosis in the hand, especially if no suitable trauma preceeded. Usually conservative treatment with immobilization and antiphlogistic drugs rapidly leads to a complete remission.