Calcific tendonitis of peroneus longus. Discussion Calcific tendonitis is most prevalent in the tendons of the shoulder and the hip; it has also been described at many other sites including the elbow, wrist, neck, knee, foot and ankle [1, 2]. The peak incidence of calcific tendonitis is in the fourth through sixth decade of life, and the disease has a female predominance [3]. The deposition of hydroxyapatite crystals into muscles, capsules, bursae, and tendon sheaths can be associated with underlying renal disease or collagen vascular disease but often occurs idiopathically. Radiographs are sufficient to demonstrate the amorphous calcifications seen with hydroxyapatite crystal deposition. However, symptoms may not correlate with the radiographic findings and incidental asymptomatic calcifications have been reported [3]. Cross-sectional imaging can help localize the calcifications to a tendinous or bursal distribution.