M65.241

Clinical Causes: Repeated minor injuries or overuse of the hand tendons Degeneration of the tendons with age Disruption of blood supply to the tendons Genetic predisposition or connective tissue disorders Calcium metabolism abnormalities Previous immobilization or limited movement of the hand

Key Symptoms: Sudden or gradual onset of hand pain Localized swelling around the affected tendon Tenderness when touching the affected area Limited range of motion in the fingers or wrist Warmth or redness over the affected tendons Pain that worsens with movement or activity Possible crepitus or a sensation of grating during tendon movement

Diagnosis Path: Diagnosis typically involves a clinical examination and imaging studies. The healthcare provider may perform specific tests to assess the range of motion and tenderness. Imaging techniques used to confirm calcific tendinitis include: - X-rays: Reveal calcium deposits within the tendons - Ultrasound: Helps visualize calcium deposits and assess inflammation - MRI scans: May be used in complex cases to evaluate surrounding tissues and rule out other conditions It is important to identify calcific tendinitis early to manage symptoms effectively and prevent further damage.

Treatment Protocols: Management of calcific tendinitis generally includes conservative measures such as: - Resting the affected hand to reduce strain on the tendons - Applying ice packs to minimize swelling and inflammation - Nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and inflammation - Physical therapy to improve flexibility and strength in the hand - Extracorporeal Shock Wave Therapy (ESWT): A non-invasive procedure that can help break down calcium deposits - Corticosteroid injections: Used in cases of severe inflammation to provide relief In rare or persistent cases where conservative treatments fail, surgical options may include: - Tendon debridement or removal of calcium deposits - Repair or reconstruction of affected tendons It is important to consult with a healthcare professional to determine the most appropriate treatment for individual cases.