[Calcific tendinitis].
Tendinosis calcarea.
Calcific shoulder
Calcium deposits
Diagnosis
Rotator cuff
Tendons
Journal
Radiologie (Heidelberg, Germany)
ISSN: 2731-7056
Titre abrégé: Radiologie (Heidelb)
Pays: Germany
ID NLM: 9918384887306676
Informations de publication
Date de publication:
11 Oct 2023
11 Oct 2023
Historique:
accepted:
11
09
2023
medline:
11
10
2023
pubmed:
11
10
2023
entrez:
11
10
2023
Statut:
aheadofprint
Résumé
Calcific tendinitis (TC) is a common-usually self-limiting-musculoskeletal disease, histopathologically characterized by both deposition and subsequent inflammatory breakdown of calcium crystals in tendons. The disease can cause acute, sometimes excruciating pain and restricted movement in the shoulder joint. Furthermore, 10-30% of patients have a complicated course of the disease. Imaging-based assessment by X‑ray and ultrasound is required to establish the initial diagnosis and differential diagnosis as well as for follow-up. Magnetic resonance imaging (MRI) and, to a lesser degree, computed tomography (CT) complete the imaging work-up for establishing differential diagnoses and detecting complications. The combined evaluation of clinical symptoms and imaging findings is crucial to assess prognosis, plan therapy and detect potential complications. This article provides an overview of imaging-based morphology as related to the different stages of TC, relevant complications and potential pitfalls with respect to comorbidities and differential diagnoses. KLINISCHES PROBLEM: Die Tendinosis calcarea (TC) ist eine häufige – in der Regel selbstlimitierende –muskuloskelettale Erkrankung, die histopathologisch sowohl durch die Ablagerung als auch den nachfolgenden entzündlichen Abbau von Kalziumkristallen in Sehnen charakterisiert wird. Sie kann im Schultergelenk zu stärksten Schmerzen und Bewegungseinschränkungen führen. 10–30 % der Patienten haben einen komplizierten Krankheitsverlauf. Die Bildgebung mittels Röntgenaufnahme und Ultraschall ist essenziell für die initiale Diagnostik und Differenzialdiagnostik sowie die Verlaufskontrolle. Die Magnetresonanztomographie (MRT), im Einzelfall auch die Computertomographie (CT), ergänzen die Basisdiagnostik für die Beurteilung von Komplikationen und zur Abgrenzung möglicher Differenzialdiagnosen. EMPFEHLUNG FüR DIE PRAXIS: Die gemeinsame Beurteilung von klinischer Beschwerdelast und Bildgebung ist ausschlaggebend für Prognoseabschätzung, Therapieplanung und Beurteilung von Komplikationen. Diese Arbeit liefert eine Übersicht über die bildmorphologische Darstellung der stadienhaft verlaufenden TC, relevante Komplikationen und mögliche Fallstricke in Hinsicht auf Komorbiditäten und Differenzialdiagnosen.
Autres résumés
Type: Publisher
(ger)
KLINISCHES PROBLEM: Die Tendinosis calcarea (TC) ist eine häufige – in der Regel selbstlimitierende –muskuloskelettale Erkrankung, die histopathologisch sowohl durch die Ablagerung als auch den nachfolgenden entzündlichen Abbau von Kalziumkristallen in Sehnen charakterisiert wird. Sie kann im Schultergelenk zu stärksten Schmerzen und Bewegungseinschränkungen führen. 10–30 % der Patienten haben einen komplizierten Krankheitsverlauf.
Identifiants
pubmed: 37819397
doi: 10.1007/s00117-023-01218-4
pii: 10.1007/s00117-023-01218-4
doi:
Types de publication
English Abstract
Journal Article
Review
Langues
ger
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
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