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Arthroscopic Management of Rotator Cuff Calcific Tendonitis

  • M. Ned Scott
  • Christopher C. Schmidt
  • Brandon Brown
  • Thomas Kotsonis
Chapter

Abstract

Calcific tendonitis of the rotator cuff is a common cause of shoulder pain and loss of function. When conservative care fails to control pain and restore movement and strength, arthroscopic management is a reliable treatment. The goal of the procedure is removal of the calcific deposit without injury to the intact rotator cuff tendon. Arthroscopic needling, blunt expressing of soft deposits, and limited shaving of firm calcific deposits are the preferred techniques. Complete radiographic removal of the entire calcific deposits is not necessary. High-grade (>50%) partial and complete tears of the rotator cuff created during deposit removal should be repaired by techniques that preserve the intact tendon. Low-grade (<50% of the tendon thickness) partial tears can simply be debrided. Arthroscopic subacromial decompression is performed if impingement signs are present. Significant clinical relief of symptoms can take up to 6–12 months and while it may never be complete radiographic absorption of the deposit can take up to a year.

Keywords

Rotator cuff tear Calcific tendonitis Arthroscopy Case study 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • M. Ned Scott
    • 1
  • Christopher C. Schmidt
    • 2
  • Brandon Brown
    • 3
  • Thomas Kotsonis
    • 4
  1. 1.Department of Orthopaedic SurgeryUniversity of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Department of Orthopaedic SurgeryUniversity of Pittsburgh Medical CenterPittsburghUSA
  3. 3.Department of BioengineeringUniversity of PittsburghPittsburghUSA
  4. 4.Department of Mechanical EngineeringUniversity of PittsburghPittsburghUSA

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