Calcific Tendinopathy of the Shoulder
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Search Strategy[edit | edit source]
9/19:Pubmed - “calcific tendonitis” “diagnosis” “treatment” “Evaluation”
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
Characteristics/Clinical Presentation[edit | edit source]
Clinical presentation varies.[2]
Calcific tendonitis is a self-limiting condition.[1] Symptoms may last several days or become chronic; there is no clear prediction of disease course. Time required for symptoms to disappear is typically too long for patient’s QoL.[2]
The typical clinical manifestation is a sub-acute, low-grade shoulder pain that increases at night (50% of patients), with restricted range-of-motion.[1]
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Examination[edit | edit source]
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Medical Management
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Physical Therapy Management
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References[edit | edit source]
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- ↑ 1.0 1.1 1.2 1.3 1.4 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.
- ↑ 2.0 2.1 2.2 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.
