Calcific tendinopathy of the rotator cuff: a review of operative versus nonoperative management

  title={Calcific tendinopathy of the rotator cuff: a review of operative versus nonoperative management},
  author={Joseph Bechay and Cassandra Lawrence and Surena Namdari},
  journal={The Physician and Sportsmedicine},
  pages={241 - 246}
ABSTRACT Calcific tendinopathy of the shoulder involves calcification and degeneration of the rotator cuff tendon near its insertion point on the greater tuberosity. The purpose of this review is to analyze recent literature evaluating the clinical outcomes of non-operative and operative treatment for calcific tendinopathy of the shoulder. Conservative management, extracorporeal shockwave therapy (ESWT), ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT), and surgical… 
Atypical Localization of Calcific Shoulder Tendinopathy: Humeral Insertion of the Pectoralis Major
This rare and atypical localization can mislead the surgeon and a biological assessment to research a systemic etiology is mandatory and standardized.
Arthroscopic treatment and subacromial decompression of calcific tendinitis without removal of the calcific deposit results in rapid resolution of symptoms and excellent clinical outcomes in commercial airline pilots and cabin crew
The results of this study suggest excellent short- and mid-term clinical outcomes can be achieved in patients with calcific tendinitis undergoing arthroscopic debridement and subacromial decompression without removal of calcific deposits.
Acute painful calcific tendonitis of the shoulder
A 39yearold woman with diabetes presented with a history of disabling pain in the right shoulder for 5 days, suggestive of calcific tendonitis, which is commonly found in middleaged people and the risk factors include metabolic disorders and autoimmune diseases.
Risk Factor Analysis for Predicting the Onset of Rotator Cuff Calcific Tendinitis Based on Artificial Intelligence
Independent predictors of symptomatic RCCT are female, hyperlipidemia, diabetes mellitus, and hypothyroidism, and careful assessment through individualized risk stratification can help predict onset and targeted early stage treatment.
Focused, radial and combined shock wave therapy in treatment of calcific shoulder tendinopathy
The best therapy in calcific shoulder tendinopathy appears to be combined focused and radial ESWT compared to interventions alone.
Ultrasound-guided musculoskeletal interventional procedures around the shoulder
The most common ultrasound-guided procedures around the shoulder have been reviewed to discuss indications and techniques and how they are applied to treat different causes of painful shoulder.


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  • Medicine
    Seminars in musculoskeletal radiology
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The clinical presentation in relation to the stage of the disease process and the appearance of the calcific deposits is discussed and the available treatment modalities for this common shoulder disorder are examined.
Calcific Tendinopathy of the Rotator Cuff: Pathogenesis, Diagnosis, and Management
Should conservative treatment fail, surgical removal may be indicated during the formative phase, but only under exceptional circumstances during the resorptive phase, and aspiration and lavage of the deposit should be performed only during the latter phase.
Complications of calcific tendinitis of the shoulder: a concise review
There are five major complications of CT: pain, adhesive capsulitis, RC tears, greater tuberosity osteolysis and ossifying tendinitis, which are explained right from their origin to the control measures required for the relief of the patient.
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    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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Intramuscular migration of calcific tendinopathy in the rotator cuff: ultrasound appearance and a review of the literature
Four cases of an even more rare condition, not well described in literature yet, the intramuscular migration of calcium, the migration of the calcium in the subacromion-subdeltoid bursa is presented.
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The intervention is simple, cost-effective, does not require hospitalization, involves no complications, rehabilitation treatment is not required and it shows very few side effects without sequelae, significantly reducing the size of the calcification and pain in the majority of patients.
Predictors of Success of Corticosteroid Injection for the Management of Rotator Cuff Disease
It is difficult to predict outcomes after CSI because the treatment strategy showed a 40% failure rate and no significant difference was found in age, hand dominance, duration of symptoms, or any of the scoring systems.
Are the Symptoms of Calcific Tendinitis Due to Neoinnervation and/or Neovascularization?
This is the first study to show a significant increase in neovascularization and neoinnervation in calcific tendinitis lesions of the shoulder along with an eightfold increase in mast cells and macrophages.