Calcification or ossification of the longus colli tendon is a rare and often underdiagnosed cause of acute neck pain, typically seen in middle-aged adults, especially women. This condition results from the deposition of calcium hydroxyapatite crystals in the tendon, causing an inflammatory or granulomatous response. Common symptoms include neck pain, painful swallowing, and fever. CT imaging is the preferred diagnostic tool, showing retropharyngeal and prevertebral effusions with minimal or no peripheral enhancement, often accompanied by calcifications in the superior fibers of the longus colli tendon. This condition can be mistaken for a retropharyngeal abscess, which requires more invasive management, such as drainage. In contrast, calcific tendinitis responds well to conservative treatment, including nonsteroidal anti-inflammatory drugs (NSAIDs). Here, we report a case of retropharyngeal effusion secondary to calcific tendinitis of the longus colli muscle, highlighting the importance of distinguishing it from other conditions, such as retropharyngeal abscess, to avoid unnecessary invasive treatments.
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http://dx.doi.org/10.1016/j.radcr.2024.12.063 | DOI Listing |
Radiol Case Rep
March 2025
Department of Neuroradiology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USA.
Calcification or ossification of the longus colli tendon is a rare and often underdiagnosed cause of acute neck pain, typically seen in middle-aged adults, especially women. This condition results from the deposition of calcium hydroxyapatite crystals in the tendon, causing an inflammatory or granulomatous response. Common symptoms include neck pain, painful swallowing, and fever.
View Article and Find Full Text PDFMusculoskelet Sci Pract
January 2025
Ascension Resurrection Family Medicine Residency Program, 7447 W Talcott Ave Ste 182, Chicago, IL, 60631, USA.
Background: There is limited evidence to inform exercise prescription for deep neck flexor activation out of supine.
Objective: To compare activation of longus colli (LC) and sternocleidomastoid (SCM) from supine to sitting, and to compare the effect of craniocervical flexion (CCF) exercises in sitting on activation.
Methods: Twenty-four individuals without neck pain (mean age 28.
J Craniofac Surg
January 2025
Department of Neurosurgery, Northern Jiangsu People's Hospital, Northern Jiangsu People's Hospital affiliated Yangzhou University.
Objective: To explore the anatomic characteristics of C7 nerve localization, course, and length during cross-transfer surgery of the C7 nerve through the anterior vertebral approach and investigate the feasibility, safety, and clinical efficacy of C7 nerve transfer surgery through the anterior vertebral approach for the treatment of central upper limb spastic paralysis.
Methods: Four fresh-frozen adult head and neck samples were selected. C7 nerve transfer surgery was simulated through the anterior vertebral approach.
Radiologia (Engl Ed)
September 2024
Servicio de Radiodiagnóstico, Hospital Universitario Fundación Alcorcón, Madrid, Spain.
J Electromyogr Kinesiol
December 2024
Texas Tech University Health Sciences Center, Lubbock, TX, United States.
Deep neck flexor (DNF) muscles contribute to cervical stability and proprioception. Reduced muscle strength and endurance lead to faulty movement patterns, muscle imbalances, and dysfunction. Potentially, the orofacial muscles contribute to cervical strength by providing stability through muscular connections.
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