Zeitschrift fur Orthopadie und ihre Grenzgebiete · 1997
[Bursitis calcarea--an often overlooked and falsely diagnosed illness of the hand].
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Balogh B, Piza-Katzer H, Kosak D
Аннотация
OBJECTIVE: To compare surgical and conservative management in patients with acute calcific bursitis of the hand, a rare condition often misdiagnosed because of its unspecific symptoms.
METHOD: Four patients with calcific bursitis at the metacarpophalangeal or distal interphalangeal joints or the pisiform are presented. Of these, 3 underwent surgery, while one was treated conservatively. Clinical and radiological symptoms and signs are described.
RESULTS: The 3 patients treated surgically returned to work on the 10th postoperative day, while the patient who refused surgery needed rehabilitation for 4 weeks.
CONCLUSION: Surgery to remove the calcium deposits enables patients to resume work earlier than after conservative treatment which may take weeks.
METHOD: Four patients with calcific bursitis at the metacarpophalangeal or distal interphalangeal joints or the pisiform are presented. Of these, 3 underwent surgery, while one was treated conservatively. Clinical and radiological symptoms and signs are described.
RESULTS: The 3 patients treated surgically returned to work on the 10th postoperative day, while the patient who refused surgery needed rehabilitation for 4 weeks.
CONCLUSION: Surgery to remove the calcium deposits enables patients to resume work earlier than after conservative treatment which may take weeks.