Complete Resolution of a Case of Calcific Tendinitis of the Longus Colli with Conservative Treatment

Fumitake Tezuka; Toshinori Sakai; Ryo Miyagi; Yoichiro Takata; Kosaku Higashino; Shinsuke Katoh; Koichi Sairyo; Natsuo Yasui
October 2014
Asian Spine Journal;2014, Vol. 8 Issue 5, p675
Academic Journal
Case Study
Acute calcific tendinitis of the longuscolli is a self-limiting inflammatory condition caused by calcium hydroxyapatite deposition in the longuscolli tendon. Although several case reports have described its radiological presentation, few reports provide detailed chronological accounts through symptomatic and radiologic resolution. A 59-year-old woman presented with severe neck pain and stiffness of a few days duration as well as moderate discomfort when swallowing. Lateral radiographs revealed a large calcium deposit anterior to the C1-C2 joint and swelling of the prevertebral soft tissue from C1 to C5. CT and magnetic resonance imaging showed fluid in the retropharyngeal gap.A soft collar and non-steroidal anti-inflammatory drug were prescribed, without antibiotics. At 4 months after presentation, the calcium deposit and all symptoms had resolved completely. Although this disease is comparatively rare, physicians should keep it in mind when a patient presents with acute severe neck pain.


Related Articles

  • Breaking a Vicious Circle? Wilke, Allan J. // Internal Medicine Alert;4/15/2010, Vol. 32 Issue 7, p49 

    In this article, the author discusses the discovery that adding a muscle relaxant to a nonsteroidal anti-inflamatory drug (NSAID) has no benefit in acute neck strain.

  • Efeito da dexametasona e do cetoprofeno na osteogênese e na resistência óssea em ratos. dos Santos da Silva, Patrícia Costa; Camilli, José Ângelo; Nakagaki, Wilson Romero; Soares, Evelise Aline; Dias Garcia, José Antonio // Revista de Ciências Farmacêuticas Básica e Aplicada;2012, Vol. 33 Issue 2, p217 

    This study aimed at evaluating the effect of ketoprofen (NSAID) and dexamethasone (SAID) on osteogenesis around a dense hydroxyapatite (DHA) implant in the tibia and parietal bone, and on the bone resistance. Fifteen fifty-day-old Wistar rats weighing on average 250±30 g were used. The...

  • piroxicam. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p609 

    An encyclopedia entry for "piroxicam" is presented. It is a type of nonsteroidal anti-inflammatory drug (NSAID) used to relieve the symptoms of types of arthritis and to relieve pain in bursitis, tendinitis and after minor surgery. Adverse side effects may include nausea, indigestion, abdominal...

  • Myositis, Vasculitis, Hepatic Dysfunction in Adult-Onset Still's Disease. Yanai, Hidekatsu; Furutani, Nobuyuki; Yoshida, Hiroshi; Tada, Norio // Case Reports in Medicine;2009, p1 

    Although hepatic dysfunction is common in adult-onset Still's disease (AOSD), sometimes it is difficult to differentiate hepatic dysfunction due to AOSD itself from drug-induced hepatic dysfunction. Further, myalgia often occurs in patients with AOSD; however, AOSD patients complicated with...

  • Common Overuse Tendon Problems: A Review and Recommendations for Treatment. Wilson, John J.; Best, Thomas M. // American Family Physician;9/1/2005, Vol. 72 Issue 5, p811 

    There is a common misconception that symptomatic tendon injuries are inflammatory; because of this, these injuries often are mislabeled as "tendonitis." Acute inflammatory tendinopathies exist, but most patients seen in primary care will have chronic symptoms suggesting a degenerative condition...

  • An overview of structure, mechanical properties, and treatment for age-related tendinopathy. Zhou, B.; Zhou, Y.; Tang, Kanglai // Journal of Nutrition, Health & Aging;Apr2014, Vol. 18 Issue 4, p441 

    Tendons transfer tensile loads from muscle to bone, which enable joint motions and stabilize joints. Tendons sustain large mechanical loads in vivo and as a result, tendons were frequently injured. Aging has been confirmed as a predisposing factor of tendinopathy and bad recovery quality...

  • Efficacy of Anakinra for Various Types of Crystal-Induced Arthritis in Complex Hospitalized Patients: A Case Series and Review of the Literature. Aouba, A.; Deshayes, S.; Frenzel, L.; Decottignies, A.; Pressiat, C.; Bienvenu, B.; Boue, F.; Damaj, G.; Hermine, O.; Georgin-Lavialle, S. // Mediators of Inflammation;3/26/2015, Vol. 2015, p1 

    Background. There are few data on anakinra use after failure of conventional medications for crystal-induced peripheral arthritis and/or crowned dens syndrome among complex hospitalized patients. Methods. We retrospectively analyzed the outcome of six patients affected with subacute...

  • Are non-steroidal anti-inflammatory drugs effective for the management of neck pain and associated disorders, whiplash-associated disorders, or non-specific low back pain? A systematic review of systematic reviews by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Wong, Jessica; Côté, Pierre; Ameis, Arthur; Varatharajan, Sharanya; Varatharajan, Thepikaa; Shearer, Heather; Brison, Robert; Sutton, Deborah; Randhawa, Kristi; Yu, Hainan; Southerst, Danielle; Goldgrub, Rachel; Mior, Silvano; Stupar, Maja; Carroll, Linda; Taylor-Vaisey, Anne; Wong, Jessica J; Côté, Pierre; Shearer, Heather M; Brison, Robert J // European Spine Journal;Jan2016, Vol. 25 Issue 1, p34 

    Purpose: To evaluate the effectiveness of non-steroidal anti-inflammatory drugs (NSAIDs) for the management of neck pain and associated disorders (NAD), whiplash-associated disorders, and non-specific low back pain (LBP) with or without radiculopathy.Methods: We...

  • Lumiracoxib537. Feret, Brett // Formulary;Sep2003, Vol. 38 Issue 9, p529 

    Reports on the marketing of non-steroidal anti-inflammatory drug lumiracoxib in the U.S. Treatment of arthritis and acute pain; Efficacy of the drug for treatment of osteoarthritis; Comparison of adverse effects to other COX-2 inhibitors. INSETS: Abstract;Formulary considerations.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics