Thickening or calcification of the tendon or tendon insertion

Introduction Thickening or calcification at the point of sputum or sputum is a clinical symptom caused by rickets. The rickets were first proposed by German scholars in the 1940s. In 1986, Perugia pointed out in his book: "The use of itis as a suffix to describe the degenerative changes in sputum tissue is highly contradictory." Therefore, when doctors use treatment, the main goal should be to block collagen decomposition, not anti-inflammatory. This requires a considerable period of rest and treatment to block the cycle of rickets, promote collagen production and maturation, and restore tension and functional strength of the tendon.

Cause

According to the observation of pathological specimens of surgical tendons, the pathological results of the naked eye are quite consistent whether in the Achilles tendon, the ankle, the rotator cuff, or the internal or external iliac crest. The appearance of the "caries" specimen is gray, slightly brownish yellow, degenerate. Fish-like degeneration and softening. The normal sputum tissue is white, shiny and firm. Under light microscopy, the collagen continuity of rickets is interrupted, the collagen structure is loose, glassy changes occur, and the tide scale moves up or calcifies. Under polarized light microscopy, normal collagen is yellow reflective, and the diseased collagen becomes green and dull, and the structure is disordered. The sputum matrix, blood vessels and cellular components are increased in the diseased tissues, and these cells are mainly derived from fibroblasts and myofibroblasts. There are no inflammatory cells.

an examination

Related inspection

CT examination of bone and joint and soft tissue

Rickets mainly manifest as local pain, tenderness, sputum or sputum thickening, and dysfunction due to exercise pain. X-rays appear as thickening or calcification at the sputum or sputum. MRI is helpful in diagnosing, showing a high-density signal in the T2-weighted image of the diseased tissue at the junction of the tendon and the bone. Ultrasound can show a low echogenic change in the lesioned tissue.

Differential diagnosis

Tendon cysts: Cysts generally develop slowly. Except for local lumps, there are few symptoms and occasional local soreness.

Drying of the tendon sheath: Drying of the tendon sheath is caused by tendinitis and tenosynovitis, and is also a clinical manifestation of tendinitis and tenosynovitis. Tendonitis and tenosynovitis are also known as tendonitis and tenosynovitis. This topic explains the tendonitis and tenosynovitis in detail from pathological etiology, symptoms and signs, treatment and medication, preventive health care, and related complications. Information content for your reference. You can also consult an online doctor for free if you need it. Tendon inflammation (tendonitis) and tendon sheath inflammation (tenosynovitis) usually occur simultaneously. The tendon sheath lined with the synovial membrane is generally the most inflammatory site, but the inflammatory response can be accompanied by the tendon wrapped (as a result of deposition of calcium, etc.).

Tendonitis: The tendon end is the end of the ligament, tendon, and joint capsule attached to the bone. Tendonitis is one of the common symptoms of reactive arthritis. It is manifested as pain and tenderness of the tendon at the point of attachment of the bone. It is most susceptible to Achilles tendon, plantar tendon, tendon attachment point and paravertebral column. In severe cases, activity may be limited or muscle atrophy may occur due to local pain.

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