Document Detail

Acute calcific tendinitis of the longus colli muscle: case report and review of the literature.
MedLine Citation:
PMID:  23179983     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Acute calcific tendinitis of the longus colli muscle (or retropharyngeal tendinitis) is an aseptic inflammatory process characterized by acute posterior neck pain, neck stiffness and dysphagia or odynophagia. Awareness of its existence is crucial in the differential diagnosis, because many other conditions, such as retropharyngeal abscess, meningitis or disc herniation, show similar clinical features. We present a case exhibiting an uncommon symptom (torticollis) and a brief literature review to emphasize the risk of misdiagnosis.
METHODS: A 36-year-old woman presented with neck stiffness and torticollis accompanied by dysphagia and prevertebral space sensitivity on the second day.
RESULTS: The diagnosis was established by computed tomography (CT), the gold standard for identifying the presence of prevertebral oedema and calcific deposition associated with retropharyngeal tendinitis. Treatment with NSAIDs and low doses of corticosteroids relieved the symptoms within 48 h.
CONCLUSIONS: Retropharyngeal tendinitis is an underreported entity in the literature and orthopaedists should become aware of its existence. Misdiagnosis of this important mimicker may lead to unnecessary antibiotics administration and interventions in the retropharyngeal space.
A H Zibis; D Giannis; K N Malizos; P Kitsioulis; D L Arvanitis
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2012-11-21
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  22 Suppl 3     ISSN:  1432-0932     ISO Abbreviation:  Eur Spine J     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-05-02     Completed Date:  2013-11-19     Revised Date:  2014-05-08    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  S434-8     Citation Subset:  IM    
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MeSH Terms
Calcinosis / complications,  pathology*
Neck Muscles / pathology*
Tendinopathy / complications,  pathology*
Torticollis / etiology

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