Calcifying Tendonitis of the Gastrocnemius

Iguchi, Y.; Ihara, Nario; Hijioka, A.; Uchida, S.; Nakamura, T.; Kikuta, A.; Nakashima, T.

doi:10.1302/0301-620x.84b3.0840431

Cited by 7 publications

(3 citation statements)

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“…Kernohan et al [12] mentioned a dolorous calcification of the lateral sesamoid bursa of the great toe. Iguchi et al [7] described the clinical features of calcifying tendinitis in the medial head of the gastrocnemius in three elderly female patients.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic calcification of the medial collateral ligament of the knee joint: a report about five cases

Muschol

Müller

Petersen

et al. 2005

Knee Surg Sports Traumatol Arthrosc

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Symptomatic calcifications of the rotator cuff tendons is well-known pathologic condition. However, pathologic calcifications may involve other structures of the locomotor system as well. We report about five patients (age 52-66 years) with a painful calcification at the proximal part of the medial collateral ligament of the knee joint. All five patients presented with load-dependent pain pretending meniscus symptoms, but manual valgus stress provoked severe pain at the medial side of the knee. Conventional X-ray examination showed a dense rounded deposit at the proximal part of the medial collateral ligament. Initially all patients were treated conservatively by needling and infiltration with a local anaesthetic. Open resection of the deposit was performed in four patients after unsuccessful conservative treatment. Postoperatively all patients were immediately free of pain. After a mean follow-up of 6 years (patient 1-4) (range=2.5-9.5 years), all patients were still free of pain. Histological evaluation of biopsies obtained during surgery showed nodular deposition of calcium at the collagen fibres, vascular proliferations and inflammative changes. Soft tissue calcifications have to be considered as a rare differential diagnosis in patients presenting with medial knee joint pain. Open resection reduces symptoms immediately. The histological changes seen were comparable to that reported about pathological tendon calcifications of the shoulder. Therefore, both conditions might be of the same aetiology.

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Section: Discussionmentioning

confidence: 99%

Symptomatic calcification of the medial collateral ligament of the knee joint: a report about five cases

Muschol

Müller

Petersen

et al. 2005

Knee Surg Sports Traumatol Arthrosc

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show abstract

“…As the patient did not present with a clear history of trauma, the other differential diagnosis we should have considered is calcifying tendonitis of the gastrocnemius tendon. Iguchi et al 7 reported three cases of isolated non-traumatic calcifying tendonitis of the medial head of gastrocnemius tendon presenting with pain in the posterior medial aspect of the knee.…”

Section: Discussionmentioning

confidence: 99%

Isolated partial tear and partial avulsion of the medial head of gastrocnemius tendon presenting as posterior medial knee pain

Watura

Ward²,

Harries³

2010

Case Reports

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We present a case of medial head of gastrocnemius tendon tear. The type of injury widely reported in the literature is tear of the medial head of gastrocnemius muscle or 'tennis leg'. We previously reported an isolated partial tear and longitudinal split of the tendon to the medial head of gastrocnemius at its musculotendinous junction. The case we now present has notable differences; the tear was interstitial and at the proximal (femoral attachment) part of the tendon, the patient's symptoms and clinical examination suggested a medial meniscus tear, and magnetic resonance imaging demonstrated bone oedema at the tendon insertion site indicating a traction injury. Both cases suggest that isolated tear of the medial head of the gastrocnemius tendon may have a variety of presentations and appearances and should be considered in the differential diagnosis of tennis leg as well as medial meniscus tear.

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“…V literatuře se objevují kazuistiky výskytu depozit v různých lokalizacích, např. šlachy m.longus colli (17), m.gastrocnemius (18), m.pectoralis minor (10), svalů ruky (11,12,13), popřípadě s jiným obsahemkalciumfosfát a kalciumpyrofosfát (14). Pro klinickou praxi nejvýznamnější je však jednoznačně precipitace kalciumhydroxyapatitu v rotátorech ramenního kloubu.…”

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Calcareous Tendinitis of the Shoulder. Treatment by Needling

Lubojacký¹

2009

ACHOT

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PURPOSE OF THE STUDYCalcareous tendinitis (calcifying tendinitis) of the shoulder is a disease characterized by the formation of macroscopic deposits of hydroxyapatite (a crystalline calcium phosphate) in any tendon of the rotator cuff. It presents clinically as sudden intense pain flares resembling gout. It can be treated most effectively by invasive methods such as surgery or needling. The latter is associated with lower risks and fewer organizational and financial demands. The aim of this study is to promote the use of needling in orthopaedic outpatient departments where ultrasonography is available for diagnosis and guided intervention. MATERIALIn the period from 2000 to 2006, a total of 38 shoulders (36 patients) with calcareous tendinitis were treated. In one patient both shoulders were effected five years apart, and one patient experienced recurrence in the same shoulder after 2 years. Needling was performed in 36 shoulders, two cases were treated arthroscopically. METHODSNeedling as the primary therapy was indicated immediately after the diagnosis had been established usually on the first patient's visit, and was carried out under local anaesthesia as an outpatient procedure. The tendon with calcareous deposits was perforated with a needle under sonographic guidance and, in the majority of cases, this calcareous material was aspirated. When signs of subacromial bursitis were present, Depomedrol was administered during or following the procedure. RESULTSThe outcome was evaluated at an average follow-up of 23.4 months (range, 5 to 89). All outcomes were from excellent to satisfactory, with no poor result. Five patients underwent further treatment for impingement syndrome which two of them had already had before the needling procedure. One patient reported slightly restricted range of motion due to subsequent adhesive capsulitis. However, she was not limited in her daily activities and therefore did not require any further therapy. Five patients with occasional unspecific complaints, usually in relation to wheather changes or exercise, did not ask for any further treatment either. CONCLUSIONSNeedling is an effective method to treat calcareous tendinitis and provides results comparable with those of arthroscopy, but without operative risks. It is much less expensive (10-to 20-times) with no additional demands for either the patient or the institution. Today, the majority of orthopaedic outpatient departments in the Czech Republic have the necessary facilities and should include needling in the procedures routinely performed.

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Calcifying Tendonitis of the Gastrocnemius

Cited by 7 publications

References 0 publications

Symptomatic calcification of the medial collateral ligament of the knee joint: a report about five cases

Symptomatic calcification of the medial collateral ligament of the knee joint: a report about five cases

Isolated partial tear and partial avulsion of the medial head of gastrocnemius tendon presenting as posterior medial knee pain

Calcareous Tendinitis of the Shoulder. Treatment by Needling

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