Causation and management of calcific tendonitis and periarthritis

  title={Causation and management of calcific tendonitis and periarthritis},
  author={Christopher R. Carcia and Jason S Scibek},
  journal={Current Opinion in Rheumatology},
Purpose of reviewThe purpose of this review is to update the reader on contemporary theory related to the cause of calcific periarthritis and provide the latest evidence associated with treating recalcitrant cases. Recent findingsContemporary theory suggests calcific periarthritis is the result of a cellular-mediated process in which calcium is deposited and resorbed via a multiple phase process. Resorption is associated with an acute inflammatory response and is often the factor that prompts… 
Effective period of conservative treatment in patients with acute calcific periarthritis of the hand
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The outcomes with respect to pain, function, and patient satisfaction provide evidence to support the use of conservative therapeutic interventions when managing patients with acute cases of calcific tendinopathy.
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Initial treatment should be conservative, including rest, physical therapy, nonsteroidal anti-inflammatory drugs, and, in later stages, subacromial infiltration with corticosteroids.
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.
Management of acute calcific tendinitis of the shoulder.
  • R. Wainner, M. Hasz
  • Medicine
    The Journal of orthopaedic and sports physical therapy
  • 1998
The incidence, proposed etiologies, and a unique treatment approach of rotator cuff calcific tendinitis are reviewed.
Calcific Tendinitis: A Pictorial Review
Crystal deposition disease of the shoulder (including calcific tendonitis and milwaukee shoulder syndrome)
  • P. Halverson
  • Medicine, Biology
    Current rheumatology reports
  • 2003
Some patients with large rotator cuff tears progress to a severe destructive arthropathy characterized by large joint effusions, which are noninflammatory but contain basic calcium phosphate crystals, which stimulate metalloproteinase production in vitro and also suppress metalliproteinase inhibitor production.
Acute Retropharyngeal Calcific Tendinitis in an Unusual Location: a Case Report in a Patient with Rheumatoid Arthritis and Atlantoaxial Subluxation
A case of this disease which was misdiagnosed as a retropharyngeal tuberculous abscess, or a muscle strain of the ongus colli muscle, in a rheumatoid arthritis patient with atlantoaxial subluxation is introduced.
Can clodronate be effective in the treatment of disabling hydroxyapatite crystal-deposition disease? A report of two cases
Low-dose methylprednisolone added to intramuscular clodronate at the daily dose of 100 mg administered for 20 days every 3 months for 5 cycles showed a significant reduction in pain and disability in two women affected by disabling calcific periarthritis of the shoulders.
Surgical Management of Calcific Tendinitis of the Shoulder: An Analysis of 26 Cases
Chronic calcific tendinitis of the shoulder has good results after medical treatment in most cases and the most favourable results are obtained in patients with the longest interval between onset of disease and intervention (over 1 year) and with a progressive course of disease.