Calcific Tendinopathy of the Shoulder: Difference between revisions

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'''Etiology is still unclear.'''  
'''Etiology is still unclear.'''  


<u>Possible Causes</u>:<ref name="Cacchio">Cacchio A, Paoloni M, Spacca G, et al. Effectiveness of radial shock-wave therapy for calcific tendinitis of the shoulder: single-blind, randomized clinical study. Physical Therapy [serial online]. May 2006;86(5):672-682. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed October 25, 2011.</ref>
<u>Possible Causes</u>:<ref name="Cacchio">Cacchio A, Paoloni M, Spacca G, et al. Effectiveness of radial shock-wave therapy for calcific tendinitis of the shoulder: single-blind, randomized clinical study. Physical Therapy [serial online]. May 2006;86(5):672-682. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed October 25, 2011.</ref>  


*Hypovasculariation
*Hypovasculariation  
*Local degenerative and proliferative changes
*Local degenerative and proliferative changes


<br>Calcific tendonitis occurs in 2.5%–7.5% of healthy shoulders in adults. It's more commonly seen in women (70% of cases) and most frequently during the 5th decade of life.<ref name="Serafini" />
<br>Calcific tendonitis occurs in 2.5%–7.5% of healthy shoulders in adults. It's more commonly seen in women (70% of cases) and most frequently during the 5th decade of life.<ref name="Serafini" />  


<u>Common locations</u>:&nbsp;<ref name="Serafini" />
<u>Common locations</u>:&nbsp;<ref name="Serafini" />  


*The supraspinatus tendon (80% of cases), Most common. – critical zone
*The supraspinatus tendon (80% of cases): Critical Zone -'''''Most Common'''''
*Infraspinatus tendon (15% of cases) – lower 1/3
*Infraspinatus tendon (15% of cases): lower 1/3  
*subscapularis tendon (5%of cases) - preinsertional fibers<br><br>
*subscapularis tendon (5%of cases): pre-insertional fibers<br><br>


== Characteristics/Clinical Presentation  ==
== Characteristics/Clinical Presentation  ==

Revision as of 19:30, 25 November 2011

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Definition/Description[edit | edit source]

Calcific tendonitis refers to the deposition of calcium—predominantly hydroxyapatite—in a tendon, most often in those of the rotator cuff. May be secondary to a local decrease in oxygen tension resulting in fibrocartilaginous metaplasia and resulting calcification.[1]

Epidemiology/Etiology[edit | edit source]

Etiology is still unclear.

Possible Causes:[2]

  • Hypovasculariation
  • Local degenerative and proliferative changes


Calcific tendonitis occurs in 2.5%–7.5% of healthy shoulders in adults. It's more commonly seen in women (70% of cases) and most frequently during the 5th decade of life.[1]

Common locations: [1]

  • The supraspinatus tendon (80% of cases): Critical Zone -Most Common
  • Infraspinatus tendon (15% of cases): lower 1/3
  • subscapularis tendon (5%of cases): pre-insertional fibers

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References[edit | edit source]

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  1. ↑ 1.0 1.1 1.2 Serafini G, Sconfienza L, Lacelli F, Silvestri E, Aliprandi A, Sardanelli F. Rotator cuff calcific tendonitis: short-term and 10-year outcomes after two-needle us-guided percutaneous treatment--nonrandomized controlled trial. Radiology [serial online]. July 2009;252(1):157-164. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed September 20, 2011.
  2. ↑ Cacchio A, Paoloni M, Spacca G, et al. Effectiveness of radial shock-wave therapy for calcific tendinitis of the shoulder: single-blind, randomized clinical study. Physical Therapy [serial online]. May 2006;86(5):672-682. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed October 25, 2011.
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