hydroxyapatite deposition disease/acute calcific tendonitis Flashcards
1
Q
what is it?
A
deposition of calcium phosphate in the joints and soft tissues leading to inflammation
2
Q
what is most commonly affected?
A
shoulder - Milwaukee shoulder
3
Q
what is pathophysiology?
A
hydroxyapatite crystal deposition in supraspinatus tendon
release of collagenases, serine proteinases and IL-1
acute and rapid deterioration
4
Q
what is clinical presentation?
A
acute onset severe shoulder pain
5
Q
what investigation is used?
A
x-ray
6
Q
what is seen on x-ray?
A
calcification proximal to greater tuberosity
7
Q
what is management?
A
NSAIDs, steroid and anaesthetic injections for pain relief
usually self limiting
physiotherapy
surgical removal
