Calcific tendinitis of the rotator cuff: management options.
نویسندگان
چکیده
Calcific tendinitis of the rotator cuff tendons is a common cause of shoulder pain in adults and typically presents as activity-related shoulder pain. It is thought to be an active, cell-mediated process, although the exact pathophysiology remains unclear. Nonsurgical management continues to be the mainstay of treatment; most patients improve with modalities such as oral anti-inflammatory medication, physical therapy, and corticosteroid injections. Several options are available for patients who fail nonsurgical treatment, including extracorporeal shock wave therapy, ultrasound-guided needle lavage, and surgical débridement. These modalities alleviate pain by eliminating the calcific deposit, and several recent studies have demonstrated success with the use of these treatment options. Surgical management options include arthroscopic procedures to remove calcific deposits and subacromial decompression; however, the role of subacromial decompression and repair of rotator cuff defects created by removing these deposits remains controversial.
منابع مشابه
Calcifying Tendinitis of the Rotator Cuff: Diagnosis, Treatment and Complications
Background Calcifying tendinitis of the shoulder is a disorder characterised by either single or multiple deposits in the rotator cuff (RC) tendon. Most of calcifications undergo spontaneous resorption while a subpopulation of patients continue to complain for pain and shoulder dysfunction and the deposits do not show any signs of resolution. Although several treatment options have been propose...
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BACKGROUND Calcific tendinitis can be a substantial cause of pain and dysfunction in the shoulder, and the pathophysiology is unclear. Recent studies have shown a link among nerve ingrowth, neovascularization, and pain in tendinopathy. The aim of this study was to determine whether there is evidence of neoinnervation and/or neovascularization in calcific tendinitis lesions of the shoulder. ME...
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Calcific tendinitis of the rotator cuff is often encountered in daily clinical practice, but cases with rotator cuff tears associated with ossification in the rotator cuff are extremely rare. We experienced a 74-year-old male case with ossification in the rotator cuff associated with extensive tearing. At another hospital he had been diagnosed with calcific rotator cuff tendinitis and treated c...
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عنوان ژورنال:
- The Journal of the American Academy of Orthopaedic Surgeons
دوره 22 11 شماره
صفحات -
تاریخ انتشار 2014