J Korean Med Sci.  2004 Dec;19(6):904-906. 10.3346/jkms.2004.19.6.904.

Acute Calcific Periarthritis of Proximal Interphalangeal Joint in a Professional Golfer's Hand

Affiliations
  • 1Department of Orthopedic Surgery, College of Medicine, Institute for Medical Science, Chonbuk National University Hospital, Jeonju, Korea. osdr2815@simmani.com
  • 2Department of Diagnostic Radiology, College of Medicine, Institute for Medical Science, Chonbuk National University Hospital, Jeonju, Korea.

Abstract

This report describes a 22-yr-old professional golfer with acute calcific periarthritis of the proximal interphalangeal joint of the 4th finger. We considered that the major cause for this condition may be the repeated minor traumas to the affected site. Also, since this condition is self-limiting, a correct diagnosis is required to avoid unnecessary tests and surgery.

Keyword

Calcium; Golf; Hand; Joints; Periarthritis

MeSH Terms

Acute Disease
Adult
Arthralgia/diagnosis/etiology
Calcinosis/*complications/*radiography
Cumulative Trauma Disorders/complications/radiography
Finger Injuries/*complications/*radiography
Golf/*injuries
Humans
Male
Periarthritis/*etiology/*radiography

Figure

  • Fig. 1 Acute calcific periarthritis in the 22-yr-old patient, who was a professional tour golfe. (A) The oblique view of the left fourth finger on plain radiograph shows 5×3 mm well-defined calcification with triangular shape between distal interphalangeal joints (arrow). (B) Triphasic bone scan shows a hot uptake on the PIP joints of the left fourth finger. (C) CT image demonstrates a small calcified lesion on the PIP joint of the left fourth finger (arrow). (D) The plain radiograph taken 2 weeks later shows absorption of calcification (arrow). (E) One month later the area between the PIP joint of the left fourth finger showed small, residual calcification (arrow). (F) Three months later nearly complete resolution of the calcification was observed (arrow).


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