Acute calcific periarthritis - a differential diagnosis of pyoarthrosis of the hand].

Claudius Illg, Ruth Christine Schäfer, Adrien Daigeler, Sabrina Krauss

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 Jun

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The acute calcific periarthritis is caused by hydroxyapatite deposits in the periarticular soft tissue.The symptoms resemble a pyoarthrosis, explaining high rates of misdiagnosis. 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. The symptoms completely resolved in both patients within few days under conservative treatment. 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. Thieme. All rights reserved.

Citation

Claudius Illg, Ruth Christine Schäfer, Adrien Daigeler, Sabrina Krauss. Acute calcific periarthritis - a differential diagnosis of pyoarthrosis of the hand]. 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 Jun;53(3):323-325