Acute calcific tendinitis of the longus colli muscle: case report and review of the literature

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• 作者：A. H. Zibis (1)
  D. Giannis (2)
  K. N. Malizos (3)
  P. Kitsioulis (4)
  D. L. Arvanitis (1)
  
• 关键词：Acute calcific tendinitis of the longus colli ; Retropharyngeal tendinitis ; Torticollis ; Prevertebral oedema ; Dysphagia
• 刊名：European Spine Journal
• 出版年：2013
• 出版时间：May 2013
• 年：2013
• 卷：22
• 期：3-supp
• 页码：434-438
• 全文大小：350 KB
• 参考文献：1. Ring D, Vaccaro AR, Scuderi G, Pathria MN, Garfin SR (1994) Acute calcific retropharyngeal tendinitis. Clinical presentation and pathological characterization. J Bone Joint Surg Am 76(11):1636-642
  2. Hviid C, Salomonsen M, Gelineck J, Rasmussen LR, Jensen KM, Kryger-Baggesen P, Hartvigsen J (2009) Retropharyngeal tendinitis may be more common than we think: a report on 45 cases seen in Danish chiropractic clinics. J Manipulative Physiol Ther 32(4):315-20 CrossRef
  3. Park R, Halpert DE, Baer A, Kunar D, Holt PA (2009) Retropharyngeal calcific tendinitis: case report and review of the literature. Semin Arthritis Rheum 39(6):504-09 [Epub 2009 Jun 21]
  4. Razon RV, Nasir A, Wu GS, Soliman M, Trilling J (2009) Retropharyngeal calcific tendonitis: report of two cases. J Am Board Fam Med 22(1):84-8 CrossRef
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  11. Fahlgren H (1986) Retropharyngeal tendinitis. Cephalalgia 6(3):169-74 CrossRef
  12. Sanghvi DA, Jankharia BG, Purandare NC, Sundaram M (2006) Radiologic case study. Acute calcific retropharyngeal tendinitis. Orthopedics 29(7):561, 650-
  13. Oliva F, Giai Via A, Maffulli N (2012) Physiopathology of intratendinous calcific deposition. BMC Med 10(1):95 CrossRef
  14. Rui YF, Lui PP, Chan LS, Chan KM, Fu SC, Li G (2011) Does erroneous differentiation of tendon-derived stem cells contribute to the pathogenesis of calcifying tendinopathy? Chin Med J (Engl) 124(4):606-10
  15. Uhthoff HK, Loehr JW (1997) Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management. J Am Acad Orthop Surg 5(4):183-91
  
• 作者单位：A. H. Zibis (1)
  D. Giannis (2)
  K. N. Malizos (3)
  P. Kitsioulis (4)
  D. L. Arvanitis (1)
  
  1. Department of Anatomy, Medical School, University of Thessalia, Neofytoy 9 St., 41223, Larissa, Greece
  2. Medical School, University of Thessalia, Larissa, Greece
  3. Department of Orthopaedics, Medical School, University of Thessalia, Larissa, Greece
  4. Department of Anatomy, Medical School, University of Ioannina, Ioannina, Greece
  
• ISSN：1432-0932

文摘

Purpose Acute calcific tendinitis of the longus colli muscle (or retropharyngeal tendinitis) is an aseptic inflammatory process characterized by acute posterior neck pain, neck stiffness and dysphagia or odynophagia. Awareness of its existence is crucial in the differential diagnosis, because many other conditions, such as retropharyngeal abscess, meningitis or disc herniation, show similar clinical features. We present a case exhibiting an uncommon symptom (torticollis) and a brief literature review to emphasize the risk of misdiagnosis. Methods A 36-year-old woman presented with neck stiffness and torticollis accompanied by dysphagia and prevertebral space sensitivity on the second day. Results The diagnosis was established by computed tomography (CT), the gold standard for identifying the presence of prevertebral oedema and calcific deposition associated with retropharyngeal tendinitis. Treatment with NSAIDs and low doses of corticosteroids relieved the symptoms within 48?h. Conclusions Retropharyngeal tendinitis is an underreported entity in the literature and orthopaedists should become aware of its existence. Misdiagnosis of this important mimicker may lead to unnecessary antibiotics administration and interventions in the retropharyngeal space.