hydroxyapatite deposition disease/ acute calcific tendonitis .

Question 1

what is hydorxyapaitite deposition disease or acute calfific tendonitis

Answer 1

deposition of basic calcium phosphate in joints and soft tissues

leads to inflammation

Question 2

most copmmon site of Hydroxyapatite Deposition Disease/Acute Calcific Tendonitis

Answer 2

shoulder

Question 3

aetiology of Hydroxyapatite Deposition Disease/Acute Calcific Tendonitis

Answer 3

females
50-60 yrs

Question 4

pathophysiology of Hydroxyapatite Deposition Disease/Acute Calcific Tendonitis

Answer 4

deposition of hydroxyapatite crystals in supraspinatous tendon

release of collagenases, serine proteases and Il-1

acute and rapid deterioration

Question 5

clinical presentation of Hydroxyapatite Deposition Disease/Acute Calcific Tendonitis

Answer 5

acute onset severe shouder pain

Question 6

Ix for Hydroxyapatite Deposition Disease/Acute Calcific Tendonitis

Answer 6

x ray of shoulder - calcification can be seen proximal to greater tuberosity

Question 7

Mx of Hydroxyapatite Deposition Disease/Acute Calcific Tendonitis

Answer 7

NSAIDs/ subacromial steriod/ local anaesthetic injection for pain relief

usually self limiting

physio

surgical removal of calcifications

Question 8

Mx for Hydroxyapatite Deposition Disease/Acute Calcific Tendonitis refractory to conservative treatment

Answer 8

surgical removal of calcifications

partial or hemi arthroplasty