Calcific Tendinopathy of the Shoulder
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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), Most common. – critical zone
- Infraspinatus tendon (15% of cases) – lower 1/3
- subscapularis tendon (5%of cases) - preinsertional fibers
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References[edit | edit source]
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- ↑ 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.
- ↑ 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.
