Serhat EKREM, Harun KÖSE, Zeynep MARAŞ ÖZDEMİR, Kadir ERTEM

Dördüncü ve Beşinci Parmak Metakarpofalangeal Eklemde Kalsiyum Depolanması

Akut kalsiyum birikimi hastalığında hidroksiapatit birikimi meydana gelmektedir. Bu durum, eklemleri çevreleyen tendonlarda ve dokularda oluşmaktadır. Akut veya kronik olarak kendini gösterebilir. En sık görülen semptom etkilenen bölgede ağrıdır. İki hasta polikliniğimize el ağrısı şikayeti ile başvurdu. Radyolojik görüntüleme ile kalsifik kitleler tespit edildi. Radyolojik görüntüleme ve laboratuvar incelemelerinin ardından hastalara akut kalsiyum depo hastalığı tanısı konuldu. Hastalardan birinin semptomları iki yıldır, diğerinin semptomları üç yıldır devam ediyordu. Her iki hasta da konservatif tedaviyi defalarca denemişti. Bu hastalar uzun süredir devam eden semptomlar nedeniyle cerrahi olarak tedavi edildi. Akut kalsiyum birikimi hastalığı genellikle konservatif tedavi ile kendiliğinden düzelse de, tekrarlayan ağrı semptomları ve kalıcı lezyonları olan hastalar cerrahi olarak tedavi edilebilir.

Anahtar Kelimeler:

Kalsiyum depo hastalığı, kalsifik peritendinit, kalsifik periartrit, el cerrahisi

Calcium Deposits of the Metacarpophalangeal Joint on the Fourth and Fifth Finger

Acute calcium deposition disease is characterized by calcium hydroxyapatite crystal deposition within tendons and surrounding tissue of joints. It can manifest acute or chronic. It’s most common symptom is pain in affected area. Two patients applied to our outpatient clinic with complaints of hand pain. Calcific masses were detected by radiological imaging. After radiological imaging and laboratory examinations the patients diagnosed acute calcium deposition disease. One of the patients had ongoing symptoms for 2 years, the other one had ongoing symptoms for 3 years. Both of the patients had tried conservative treatment multiple times. These patients were treated surgically because of long-standing symptoms. Although acute calcium deposition disease usually resolves spontaneously with conservative treatment, patients with recurrent or persistent lesions can be treated surgically.

Keywords:

calcium depsits, hand surgery, peritendinitis, periarthritis,

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