Acute Calcific Tendinitis of Longus Colli: An Uncommon Cause of Acute Neck Pain
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Abstract
Acute calcific tendinitis of the longus colli muscle is an inflammatory condition associated with calcifications in longus colli muscle fibers which can present as acute neck pain. We present a case of a patient presenting with acute neck pain. MRI showed retropharyngeal effusion and edema of the left side longus colli muscle. CT showed amorphous calcifications in prevertebral region at C2 level which is a characteristic finding. Effusion in left lateral atlantoaxial joint is an uncommon associated finding in this condition which was seen in this case. It is important to recognize imaging features to prevent unnecessary investigations and surgical intervention.
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References
1. Eastwood JD, Hudgins PA, Malone D. Retropharyngeal effusion in acute calcific prevertebral tendinitis: Diagnosis with CT and MR
imaging. AJNR Am J Neuroradiol 1998;19:1789‑92.
2. Ring D, Vaccaro AR, Scuderi G, Pathria MN, Garfin SR. Acute calcific retropharyngeal tendinitis.Clinical presentation and
pathological charactarization. J Bone Joint Surg Am 1994;76:1636‑42.
3. OON CL. Some sagittal measurements of the neck in normal adults. Br J Radiol 1964;37:674‑7.
4. Hartley J. Acute cervical pain associated with retropharyngeal calcium deposit: A case report. J Bone Joint Surg Am 1964;46:1753‑4.
5. Hall FM, Docken WP, Curtis HW. Calcific tendinitis of the longus colli: Diagnosis by CT. AJR Am J Roentgenol 1986;147:742‑3.
6. Kim YS, Lee HM, Kim JP. Acute calcific tendinitis of the rectus femoris associated with intraosseous involvement: A case report
with serial CT and MRI findings. Eur J Orthop Surg Traumatol 2013 Nov; 23 Suppl 2:233‑9.
7. Harris AR, McNamara TR, Brault JS, Rizzo M. An Unusual Presentation of Acute Calcific Tendinitis in the Hand. Hand (NY) 2009; 4:81‑3.
8. Yammine K. Acute calcific periarthritis in hands. Pseudogout Presentation in Four cases. Int Musculoskeletal Med 2011;33;167‑9.
9. Oliva F, Via AG, Maffulli N. Physiopathology of intratendinous calcific deposition. BMC Med 2012;10:95.
10. Uhthoff HK, Loehr JW. Calcific tendinopathy of the rotator cuff: Pathogenesis, diagnosis and management. J Am Acad Orthop
Surg 1997;5:183‑91.
11. Benjamin M, Rufai A, Ralphs JR. The mechanism of formation of bony spurs (enthesophytes) in the Achilles tendon. Arthritis
Rheum 2000;43:576‑83.
12. Rui YF, Lui PP, Chan LS, Chan KM, Fu SC, Li G. Does erroneous differentiation of tendon‑derived stem cells contribute to the pathogenesis of calcifying tendinopathy? Chin Med J (Engl) 2011;124:606‑10.
13. Offiah CE, Hall E. Acute calcific tendinitis of the longus colli muscle: Spectrum of CT appearances and anatomical correlation. Br J Radiol 2009;82:e117‑21.
14. Kaplan MJ, Eavey RD. Calcific tendinitis of the longuscolli muscle. Ann Otol Rhinol Laryngol 1984;93:215‑9.
15. Smith RV, Rinaldi J, Hood DR, Troost T. Hydroxyapatite deposition disease: An uncommon cause of acute odynophagia. Otolaryngol Head Neck Surg 1996;114:321‑3. Figure 7: Follow up plain lateral radiograph of cervical spine showing decreased thickness of prevertebral soft tissue Thandre, et al.: Acute calcific tendinitis of longus colli: An uncommon cause of acute neck pain
16. Artenian DJ, Lipman JK, Scidmore GK, Brant‑Zawadzki M. Acute neck pain due to tendinitis of the longus colli: CT and MRI findings Neuroradiology 1989;31:166 ‑9.
17. Lee S, Joo KB, Lee KH, Uhm WS. Acute Retropharyngeal Calcific Tendinitis in an Unusual Location: A Case Report in a Patient
with Rheumatoid Arthritis and Atlantoaxial Subluxation. Korean J Radiol 2011;12:504‑9.
18. Park SY, Jin W, Lee SH, Park JS, Yang DM, Ryu KN. Acute retropharyngeal calcific tendinitis: A case report with unusual location of calcification. Skeletal Radiol 2010;39:817‑20.