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Arthroscopic Management of Calcific Tendonitis

  • Mark I. Loebenberg
  • Andrew S. Rokito

Abstract

Calcific tendonitis of the rotator cuff is a distinct pathological entity that occurs when calcium deposits accumulate within the substance of the rotator cuff tendons. This condition should be distinguished from the degenerative calcifications seen in association with the edges of a torn rotator cuff. Calcific tendonitis can present with varying degrees of severity. In some patients, deposits will be noted as an incidental finding on radiographic examination. In other patients, these deposits appear to be responsible for significant functional disability. The surgeon’s task is to determine when intratendinous calcium deposits are the source of the patient’s symptoms, and to diminish or shorten the duration of those symptoms with appropriate intervention.

Keywords

Rotator Cuff Calcium Deposit Rotator Cuff Tear Rotator Cuff Repair Extracorporeal Shock Wave Therapy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Uthoff H, Loehr J. Calcifying tendinitis. In: Rockwood C, Matsen F, eds. The Shoulder. Vol 2. Philadelphia: WB Saunders; 1997; 989–1008.Google Scholar
  2. 2.
    Eppley RA, Synder SJ, Brewster S. Arthroscopic removal of subacromial calcification. Presented at the Annual meeting of the Arthroscopy Association of North America, San Diego, California, April 1991.Google Scholar
  3. 3.
    Ark JW, Flock TJ, Flatlow EL, Bigliani LU. Arthroscopic treatment of calcific tendinitis of the shoulder. Athroscopy. 1992; 8: 183–188.CrossRefGoogle Scholar
  4. 4.
    Mole D, Kemppf JF, Gleyze P, et al. Resultats du traitement arthroscopique des tendinopathies non-rompues de la coiffe des rotateurs. 2. Calcifications de la coiffe. Rev Chir Orthop Reparative Appat Mot 1993; 79: 532–541.Google Scholar
  5. 5.
    Jerosch J, Strauss JM, Schmiel S. Arthroscopic treatment of calcific tendonitis of the shoulder. J Shoulder Elbow Surg 1998; 7 (1): 30–37.PubMedCrossRefGoogle Scholar
  6. 6.
    Rupp E, Seil R, Kohn D. Preoperative ultrasonographic mapping of calcium deposits facilitates localization during arthroscopic surgery for calcifying tendinitis of the rotator cuff. Athroscopy. 1998; 14: 540–542.CrossRefGoogle Scholar

Recommended Reading

  1. Henningan S, Romeo A. Calcifying tendonitis. In: Iannotti J, Williams Jr G, eds. Disorders of the Shoulder. Philadelphia: Lippincott; 1999; 129–157.Google Scholar
  2. Loew M, Sabo D, Wehrle M, Mau H. Relationship between calcifying tendonitis and subacromial impingement: a prospective radiography and magnetic resonance imaging study. J Shoulder Elbow Surg 1996;5(4):314–319.CrossRefGoogle Scholar
  3. Pfister J, Gerber H. Chronic calcifying tendonitis of the shoulder—therapy by percutaneous needle aspiration and lavage: a prospective open study of 62 shoulders. Clin Rheumatol 1997; 16 (3): 269–274.PubMedCrossRefGoogle Scholar
  4. Postel J, Goutallier D, Lambotte J, Duparc F. Treatment of chronic calcifying or postcalcifying shoulder tendonitis by acromioplasty without excision of the calcification. In: Gazielly D, Gleyze P, Thomas T, eds. The Cuff. Paris: Elsevier; 1997; 159–163.Google Scholar
  5. Resch H, Povacz P, Seykora P. Excision of calcium deposit and acromioplasty. In: Gazielly D, Gleyze P, Thomas T, eds. The Cuff. Paris: Elsevier; 1997; 169–171.Google Scholar
  6. Rompe JD, Zoellner J, Nafe B. Shock wave therapy versus conventional surgery in the treatment of calcifying tendonitis of the shoulder. Clin Orthop 2001;387:72–82.Google Scholar
  7. Vebostad A. Calcific tendonitis in the shoulder region. A review of 43 operated shoulders. Acta Orthop Scand 1997; 46: 205–210.Google Scholar
  8. Wang CJ, Ko JY, Chen HS. Treatment of calcifying tendonitis of the shoulder with shock wave therapy. Clin Orthop 2001;387:83–89.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 2003

Authors and Affiliations

  • Mark I. Loebenberg
  • Andrew S. Rokito

There are no affiliations available

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