Calcific tendonitis wrist

 

Pathology

 

Hydroxyapatite crystals in tendon sheath

 

Most common FCU followed by ECU

 

Symptoms

 

Ulna sided wrist pain without history of trauma

 

Signs

 

Swelling over the ECU or FCU tendon sheaths 

- occasional crepitation on range of motion

 

X-ray 

 

Calcific deposits 

 

ECU Calcific Tendonitis

 

Natural history

 

Usually self limiting and will resolve with time

 

Management

 

Splint

NSAIDS

Cortisone injections