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FCU calcific tendinitis

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Presentation on theme: "FCU calcific tendinitis"— Presentation transcript:

1 FCU calcific tendinitis
김 응 록 정형외과 김 응 록

2 FCU cacific tendinitis
Rt. wrist pain( volar, ulnar side ) Functional examination : tenderness resisted wrist ulnar deviation(+)

3 Simple x-ray

4 Simple x-ray Pisiform bone 부위의 calcification이 보임

5 Ultrasonography (wrist long axis )

6 Ultrasonography (wrist long axis )
FCU insertion site의 calcification및 tendon 의 Swelling이 관찰되어 FCU tendinosis의 소견이 보임(화살표)

7 FCU calcific tendinitis는 large size인경우 ulnar nerve neuropathy 를 일으키는 경우도 있고(Yasen S. J Orthop Surg (Hong Kong) : 20(3) acute calcific tendinitis of the flexor carpi ulanaris causing acute compressive neuropathy of the ulnar nerve), pain을 주소로 내원하는 경우도 있다.(Torbati et al, J Emer medicine Acute calcific tendinitis of the wrist) 치료는 보존적 치료에 잘 반응하는 것으로 알려져 있다

8 Wrist volar & ular side pain

9 가능한 disease FCU tendinopathy FCU calcific tendinitis PT OA

10 Anatomy Pisiform : small pea shpaed bone : seasamoid bone
: - lever increasing the force of wrist flexion - providing extrastability

11 Pisiotriquetral joint
: condylar joint : 1’ stabilizer FCU, PHL, PML, PTUL 2’ stabilizer flexor retinaculum & extensor retinaculum

12

13

14 기타 초음파로 발견 가능한 질환

15 1.PML sprain

16 2.Complete tear of PTUL ligament

17 3.cyst

18 참고문헌


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