We attempted to determine the frequency of acute longus colli tendinitis on diagnostic CT imaging performed at a large multicenter health care system. By correlating with the pre-imaging clinical information, we investigated which patient presentations should lead the radiologist to increased suspicion for this condition.
Images from a total of 8101 adult CT examinations of the neck and cervical spine performed over a 3-month period were evaluated by researchers independent of the original clinical report. Clinical information available at the time of imaging was reviewed and assigned to one of five categories. Frequency of the condition was calculated by sex and clinical presentation. This retrospective study with waiver of consent and waiver of HIPPA was approved by our IRB.
Nine positive scans were found for an overall frequency of 1.1 per 1000 examinations. The frequency was significantly higher (11.4 per thousand) on scans performed of patients presenting without history of recent trauma, concern for tumor, suspected postoperative complication, or clinical signs of infection localized to the neck. Although frequency in males was higher than in females, this did not reach statistical significance. In no positive or negative case was longus colli tendinitis considered in the pre-imaging documentation.
Findings of acute longus colli tendinitis on CT examination generally occur in the absence of prior mention of this condition in the medical record. The radiologist should be particularly alert for this diagnosis when a patient presents with rapid-onset neck pain without a clear history of recent trauma or other etiologies.
Hartley J (1964) Acute cervical pain associated with retropharyngeal calcium deposit: a case report. J Bone Joint Surg Am 46-A:1753–1754 CrossRef
Ring D, Vaccaro AR, Scuderi G, Pathria MN, Garfin SR (1994) Acute calcific retropharyngeal tendinitis: clinical presentation and pathological characterization. J Bone Joint Surg Am 76-A:1636–1642 CrossRef
Wesolowski JR, Mukherji SK (2011) Pathology of the pharynx. In: Som PM, Curtin HD (eds) Head and neck imaging, 5th edn. Elsevier Mosby, St. Louis, pp 1785–1788
Resnick D, Kransdorf MJ (2005) Bone and joint imaging, 3rd edn. Elsevier Saunders, Philadelphia, pp 474–485 CrossRef
Hviid C, Salomonsen M, Gelineck J et al (2009) Retropharyngeal tendinitis may be more common than we think: a report on 45 cases seen in Danish chiropractic clinics. J Manip Physiol Ther 32:315–320 CrossRef
- Frequency of acute longus colli tendinitis on CT examinations
- Springer Berlin Heidelberg
Neu im Fachgebiet Radiologie
Meistgelesene Bücher aus der Radiologie
e.Med Kampagnen-Visual, Mail Icon II