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The Journal of Bone and Joint Surgery 78:1114-28 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.


Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Simulators of Hand Infections*{dagger}

STEVEN E. KANN, M.D.{ddagger}, JOHN B. JACQUEMIN, M.D.{ddagger} and PETER J. STERN, M.D.{ddagger}, CINCINNATI, OHIO

An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons


    Introduction
 
Inappropriate treatment of pathological processes that mimic infection can have catastrophic consequences. Prompt recognition may prevent unnecessary operative intervention and permit appropriate therapy. The purpose of this lecture is to acquaint the physician with infection simulators, to demonstrate how they can be confused with infection, and to give guidelines for treatment.


    Acute Calcific Tendinitis
 
Acute calcific tendinitis may involve the hand and wrist as well as the shoulder, elbow, hip, or knee. Cohen, in 1924, was the first to describe calcium deposition in the hands and extremities22. The condition may be confused with infection because of the acute onset of symptoms; subtle radiographic findings; and physical findings of erythema, edema, severe pain, and occasionally fever18,30,57,102,140,143,165.

In the hand and wrist, the condition most commonly presents during middle age, with a slight preponderance in women19,165. Two cases in children have been reported19,97. The etiology is unknown, but it has been . . . [Full Text of this Article]


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