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    • Home
    • Anatomy
      • MRI Anatomy
      • X-ray Anatomy
    • Cases
      • MSK and Sports Cases
      • General Rad Cases
    • About
    • MSK Infographics
    • Blog
    • MSK MRI Templates
  • Home
  • Anatomy
    • MRI Anatomy
    • X-ray Anatomy
  • Cases
    • MSK and Sports Cases
    • General Rad Cases
  • About
  • MSK Infographics
  • Blog
  • MSK MRI Templates

MSK and sports case 3

h/o SEVERE PAIN ALONG RING FINGER

calcific periarthritis finger MRI
calcific periarthritis finger MRI
calcific periarthritis  MRI
calcific periarthritis finger CT

Findings:


  • Coronal T2, coronal STIR and axial T2 MRI images show a T2 hypointense ovoid structure along the radial collateral ligament of 4th digit metacarpo-phalangeal joint.
  • Diffuse soft tissue edema surrounding this structure.
  • CT axial and coronal images confirm peri-articular calcification. 


Diagnosis:

Acute calcific peri-arthritis


Discussion:

  • Acute calcific periarthritis is a type of hydroxyapatite deposition disease (HADD) resulting in a painful mono-arthritis.
  • It is the same pathology as calcific tendonitis or calcific bursitis, occuring in a peri-articular location.
  • Accurate diagnosis necessary to avoid labeling as infection or tumor.
  • Responds well to conservative therapy and barbotage (ultrasound guided aspiration of calcific deposit).

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Created by Dr. Ameya S. Kawthalkar

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