calcific tendonitis
Introduction
Introduction to calcific tendinitis Calcified tendinitis refers to the deposition of calcium salts in the tendons, most commonly in the rotator cuff tendons of the shoulder joints. It is more common in sports people aged 30-50 years, and the incidence of diabetes is higher. Calcified tendinitis does not necessarily cause symptoms, and most of the relief can occur after 1-4 weeks of pain. Fibrocartilage transformation can occur in relatively small areas of blood supply in tendons, and patients in this period are generally asymptomatic. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: patellofemoral joint pain
Cause
Causes of calcific tendinitis
Cause (30%):
The cause of calcium salt deposition is still unclear, and may be related to factors such as tendon degeneration, ischemia and hypoxia, and increased local pressure. Calcified tendinitis has a certain pathological process, which can be divided into three stages: pre-calcification, calcification, and calcification.
Prevention
Calcified tendonitis prevention
For the prevention of this disease and for the patient to recover better after the illness, the patient can be conditioned as follows:
1. Let the muscles rest, but avoid taking too long a break to avoid muscle atrophy.
2. If the occurrence of tendonitis is caused by exercise, changing the exercise program is a method that can be considered.
3, wash the massage bath can help improve body temperature and promote blood circulation.
4, can warm the wet towel on the knees.
5, usually stretch muscles before and during exercise.
Complication
Complications of calcific tendinitis Complications, patellofemoral joint pain
Often complicated by tendon cysts, tendon adhesions.
Symptom
Symptoms of calcific tendon symptoms Common symptoms Severe pain Upper limb weakness Upper limb abduction lifting difficulty
1. The calcium salt absorption stage can cause severe pain in the shoulder and wake up at night.
2. The tenderness of the humerus nodules is obvious.
3. The patient usually seeks treatment during the calcification phase, seeks treatment when the pain is severe, and wakes up at night; some patients occasionally find it when evaluating the rotator cuff syndrome.
4, the limb is weak, the arm is difficult to lift.
5.x line with high density shadow on the rotator cuff.
Examine
Examination of calcific tendinitis
Chronic aseptic inflammation caused by long-term mechanical friction of the tendon in the tendon sheath. The pathological change is mainly caused by the occurrence of inflammatory cell inflammation in the periorbital tissue, and the flexion and extension of the finger causes the activity to be restricted, and the bone joint can be made. And soft tissue CT examination, shoulder joint abduction test, joint cavity fluid examination, blood electrolyte examination.
Diagnosis
Diagnosis and differentiation of calcific tendinitis
An inflammation of the muscle geese or the surrounding tissue of the muscle. The muscle is a bundle of muscles and bones that conduct pressure on the muscles. The muscles are resistant to bending, stretching and twisting, but when fatigued, fibers Inflammation of the muscles can be inflamed during tearing or other injuries, and if the joints continue to move and the damage develops further, the pain will be noticeable or aggravated.
