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Kalkschulter

  • G. Pap
  • A. Machner
  • P. Ogon
  • M. Ogon

Zusammenfassung

Die Tendinitis calcarea ist ein eigenständiges Krankheitsbild, das durch multifokale, zellvermittelte Kalkablagerungen im vitalen Weichteil-Sehnen-Gewebe der Schulter gekennzeichnet ist. Sie muss von Verkalkungen abgegrenzt werden, wie sie sekundär nach operativen Eingriffen [5, 41], bei Tumoren [13, 71], chronischen Nierenerkrankungen [1] oder anderen Erkrankungen auftreten.

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Literatur

  1. 1.
    Andresen J, Nielsen HE (1981) Juxta-articular erosions and calcifications in patients with renal failure. Acta Radiol Diagn (Stockh) 22: 709–713Google Scholar
  2. 2.
    Ark J, Flock TJ, Flatow EL, Bigliani LV (1992) Arthroscopie treatment of calcific tendinitis of the shoulder. Arthroscopy 8: 183–188Google Scholar
  3. 3.
    Baer WS (1907) The operative treatment of subdeltoid bursitis. Johns Hopkins Hosp Bull 18: 282–284Google Scholar
  4. 4.
    Baird LW (1941) Roentgen irradiation of calcaneous deposits about the shoulder. Radiology 37: 316–324Google Scholar
  5. 5.
    Berg EE, Cuillo JV (1995) Heterotopic ossification after acromioplasty and distal clavicle resection. J Shoulder Elbow Surg 4: 188–194Google Scholar
  6. 6.
    Bergemann D, Steida A (1908) Über die mit Kalkablagerungen einhergehende Entzündung der Schulterschleimbeutel. Munch Med Wochenschr 52: 2699–2702Google Scholar
  7. 7.
    Booth RE Jr, Marvel JP Jr (1975) Differential diagnosis of shoulder pain. Orthop Clin North Am 6: 353–379Google Scholar
  8. 8.
    Bosworth BM (1941) Calcium deposits in the shoulder and subacromial bursitis: a survey of 12.122 shoulders. JAMA 116: 2477–2482Google Scholar
  9. 9.
    Bosworth BM (1941) Examination of the shoulder for calcium deposits. J Bone Joint Surg 23: 567–577Google Scholar
  10. 10.
    Bradley M, Bhamra MS, Robson MJ (1995) Ultrasound guided aspiration of symptomatic supraspinatus calcific deposits. Br J Radiol 68: 716–719Google Scholar
  11. 11.
    Brewer BJ (1979) Aging of the rotator cuff. Am J Sports Med 7: 716–719Google Scholar
  12. 12.
    Codman EA (1984) Rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. The Shoulder. Todd, Boston, pp 178–215Google Scholar
  13. 13.
    De Mouy EH, Kaneko K, Rodriguez RP (1995) Calcified soft tissue leiomyoma of the shoulder mimicking a 35. chondrogenic tumor. Clin Imaging 19: 4–7Google Scholar
  14. 14.
    DePalma AF, Kruper JS (1961) Long-term study of shoulder joints afflicted with and treated for calcific tendinitis. Clin Orthop 20: 61–72 36.Google Scholar
  15. 15.
    DeSeze S, Welfing J (1970) Tendinites calcificantes. Rheumatology 2: 5–14Google Scholar
  16. 16.
    Friedman MS (1957) Calcific tendinitis of the shoulder. Ann J Surg 94: 56–61 37.Google Scholar
  17. 17.
    Gazielly DF, Bruyere G, Gleyze P, Thomas T (1997)Open acromioplasty with excision of calcium deposits and 38. tendon suture. In: Gazielly DF, Gleyze P, Thomas T (eds) The cuff. Elsevier, Amsterdam, pp 171–175Google Scholar
  18. 18.
    Gärtner J (1993) Tendinosis calcarea–Behandlungser- 39. gebnisse mit dem Needling Z Orthop Grenzgeb 131: 461–469CrossRefGoogle Scholar
  19. 19.
    Gärtner J, Heyer A (1995) Tendinosis calcarea der Schulter. Orthopäde 24: 284–302 40.Google Scholar
  20. 20.
    Ghormley JW (1961) Calcareous tendinitis. Surg Clin North Am 4: 1721–1728Google Scholar
  21. 21.
    Gleyze P, Montes P, Thomas T, Gazielly DF (1997) Compared results of the different treatments in calcifying 41. tendinitis of the rotator cuff. A multicenter study of 149 shoulders. In: Gazielly DF, Gleyze P, Thomas T (eds) The cuff. Elsevier, Amsterdam, pp 181–184 42.Google Scholar
  22. 22.
    Gschwend N, Patte D, Zippel J (1972) Die Therapie der Tendinitis calcarea des Schultergelenkes. Arch Orthop 43. Unfallchir 73: 120–135Google Scholar
  23. 23.
    Gschwend N, Scherer M, Loehr JW (1981) Die Tendinitis calcarea des Schultergelenks. Orthopäde 10: 196–205PubMedGoogle Scholar
  24. 24.
    Harmon HP (1958) Methods and results in the treat- 44. ment of 2580 painful shoulders. With special reference to calcific tendinitis and the frozen shoulder. Am J Surg 95: 527–544Google Scholar
  25. 25.
    Hartig A, Huth F (1995) Neue Aspekte zur Morphologie 45. and Therapie der Tendinosis calcarea der Schultergelenke. Arthroskopie 8: 117–122Google Scholar
  26. 26.
    Hennigan SP, Romeo AA (1999) Calcifying Tendinitis. In: Ianotti JP, Williams Jr GR (eds) Disorders of the 46. Shoulder: Diagnosis and Management. Lippincott, Williams and Wilkins, Philadelphia, pp 129–157Google Scholar
  27. 27.
    Herzog RJ (1997) Magnetic resonance imaging of the 47. shoulder. J Bone Joint Surg Am 79: 934–953Google Scholar
  28. 28.
    Hsu HC et al. (1994) Clacific tendinitis in rotator cuff tearing: a clinical and radiographic study. J Shoulder Elbow Surg 3: 159–164 48.Google Scholar
  29. 29.
    Ianotti JP et al. (1991) Magnetic resonance imaging of the shoulder: sensitivity, specificity and predictive value. J Bone Joint Surg Am 73: 17–29 49.Google Scholar
  30. 30.
    Jim YF, Hsu HC, Chang CY, Wu JJ, Chang T (1993) Coexistence of calcific tendinitis and rotator cuff tear: an 50. arthrographic study. Skeletal Radiol 22: 183–185Google Scholar
  31. 31.
    Johanson LL (1993) The subacromial space and rotator 51. cuff lesions. In: Johanson LL (ed) Diagnostic and surgical arthroscopy of the shoulder. Mosby, St. Louis, pp 377–380Google Scholar
  32. 32.
    Keitel W (1993) Differentialdiagnostik der Gelenker- 52. krankungen. G. Fischer, StuttgartGoogle Scholar
  33. 33.
    Kernwein GA (1965) Roentgenographic diagnosis of 53. shoulder dysfunction. JAMA 194: 1081–1085Google Scholar
  34. 34.
    Kraus M, Reinhart E, Krause H, Reuther J (1999) Low 54 energy extracorporeal shockwave therapy (ESWT) for treatment of myogelosis of the masseter muscle. Mund Kiefer Gesichtschir 3: 20–23Google Scholar
  35. 35.
    Kuhlenkampff HA, Reichelt A (1989) Durchführung und Wirksamkeit konservativer Behandlungsverfahren bei Tendinosis calcarea und Supraspinatussyndrom. Orthop Praxis 4: 235–238Google Scholar
  36. 36.
    Lapidus PW, Guidotti FP (1968) Common shoulder lesions-report of 493 cases. Calcific tendinitis, tendinitis of the long head of the biceps, frozen shoulder, fractures and dislocations. Bull Hosp Joint Dis 29: 293–306Google Scholar
  37. 37.
    Lippmann RK (1961) Observations concerning the calcific cuff deposits. Clin Orthop 20: 49–60Google Scholar
  38. 38.
    Litchman HM, Silver CM, Simon SD, Eshragi A (1968) The surgical mamagement of calcific tendinitis of the shoulder. Int Surg 50: 474–482Google Scholar
  39. 39.
    Loew M, Daecke W, Kusnierczak D, Rahmanzadeh M, Ewerbeck V (1999) Shock-wave therapy is effective for chronic calcifying tendinitis of the shoulder. J Bone Joint Surg Br 81-B: 863–867Google Scholar
  40. 40.
    Loew M, Jurgowski W, Maus HC, Thomsen M (1995) Treatment of calcific tendinitis of rotator cuff by extra-corporal shock waves: a preliminary report. J Shoulder Elbow Surg 5: 101–106Google Scholar
  41. 41.
    Machner A, Pap G, Rohkohl K, Merk H (2000) Revisionen nach arthroskopischen Eingriffen im Subacromialraum. Z Orthop Grenzgeb 138: 104–109Google Scholar
  42. 42.
    MacNab I (1973) Rotator cuff tendinitis. Ann R Coll Surg 53: 271–287Google Scholar
  43. 43.
    Matsen FAI, Lippit SB, Sidles JA, Harryman D II (1994) Synthesis: practice guidlines. Practical evaluation management of the shoulder. Saunders, Philadelphia, pp 221–230Google Scholar
  44. 44.
    McKendry RJ, Uthoff HK, Sakar K, St. George-Hyslop P (1982) Calcifying tendinitis of the shoulder: prognostic value of clinical, histologic and radiologic features in 57 surgically treated cases. J Rheumatol 9: 75–80Google Scholar
  45. 45.
    McLaughlin HL (1946) Lesions of the musculotendinous cuff of the shoulder. III. Observations on the pathology, course and treatment of calcific deposits. Ann Surg 124: 354–362Google Scholar
  46. 46.
    McLaughlin HL (1963) Selection of calcium deposits for operation - the technique and results of operation. Surg Clin North Am 43: 1501–1504Google Scholar
  47. 47.
    Molé D et al. (1993) Résultats du traitement arthroscopique des tendinopathies non-rompues de la coiffe des rotateurs. 2. Calcifications de la coiffe. Rev Chir Orthop Reparative App at Mot 79: 532–541Google Scholar
  48. 48.
    Neer CS (1990) Less frequent procedures. In: Neer CS (ed) Shoulder reconstruction. Saunders, Philadelphia, pp 427–433Google Scholar
  49. 49.
    Painter CF (1907) Subdeltoid bursitis. Boston Med Surg J 156: 345–349Google Scholar
  50. 50.
    Patte D, Goutallier D (1988) Calcifications. Rev Chir Orthop 74: 277–278Google Scholar
  51. 51.
    Pfister J, Gerber H (1994) Behandlung der Periarthropathia humeroscapularis calcarea mittels Schulterkalkspülung: retrospektive Fragebogenanalyse. Z Orthop Grenzgeb 132: 300–305Google Scholar
  52. 52.
    Pinals RS, Short CL (1966) Calcific periarthritis involving multiple sites (Arthritis Rheum 9: 566–574Google Scholar
  53. 53.
    Plenk HP (1952) Clacifying tendinitis of the shoulder. Radiology 59: 384–389Google Scholar
  54. 54.
    Postel JM, Goutallier D, Lambotte JC, Duparc F (1997)Google Scholar
  55. 55.
    Re LP, Karzel RP (1993) Management of rotator cuff calcifications. Orthop Clin North Am 24: 125–132Google Scholar
  56. 56.
    Rompe JD, Rumler F, Hpf C, Nafe B, Heine J (1995) Extracorporal shock wave therapy for calcifying tendinitis of the shoulder. Clin Orthop 321: 196–201Google Scholar
  57. 57.
    Rowe CR (1985) Calcific tendinitis. Instr Course Lect 34: 196–198Google Scholar
  58. 58.
    Ruttiman G (1959) Über die Häufigkeit röntgenologischer Veränderungen bei Patienten mit typischer Periarthritis humeroscapularis und Schultergesunden. Dissertation, ZürichGoogle Scholar
  59. 59.
    Sengar DP, McKendry RJ, Uthoff HK (1987) Increased frequency of HLA-A1 in calcifying tendinits. Tissue Antigens 29: 173–174Google Scholar
  60. 60.
    Simon WH (1975) Soft tissue disorders of the shoulder. Frozen shoulder, calcific tendinitis, and bicipital tendinitis. Orthop Clin North Am 6: 521–539Google Scholar
  61. 61.
    Uthoff HK (1975) Calcifying tendinitis, an active cell mediated calcification. Virchows Arch A Pathol Anat Histopathol 366: 51–58Google Scholar
  62. 62.
    Uthoff HK, Loehr JW (1997) Calcific tendinopathy of the rotator cuff. J Am Acad Orthop Surg 5: 183–191Google Scholar
  63. 63.
    Uthoff HK, Loehr JW (1998) Calcifying tendinitis. In: Rockwood CA, Matsen FA (eds) The shoulder. Saunders, Philadelphia, pp 989–1008Google Scholar
  64. 64.
    Uthoff HK, Sakar K (1990) Calcifying tendinitis. In: Rockwood CA, Matsen FA (eds) The Shoulder. Saunders, Philadelphia, pp 774–790Google Scholar
  65. 65.
    Uthoff HK, Sakar K Classification and definition of tendinopathies. Clin Sports Med 1991 10: 707–720Google Scholar
  66. 66.
    Uthoff HK, Sakar K, Maynard JA (1976) Calcifying tendinitis. A new concept of its pathogenesis. Clin Orthop 118: 164–168Google Scholar
  67. 67.
    Vebostad A (1997) Calcific tendinitis in the shoulder region. A review of 43 operated shoulders. Acta Orthop Scand 46: 205–210Google Scholar
  68. 68.
    Welfing J, Kahn MF, Desroy M, Paolaggi JB, DeSeze S (1965) Calcifications of the shoulder. Rev Rheum 32: 325–334Google Scholar
  69. 69.
    Wolf WB (1992) Shoulder tendinoses. Clin Sports Med 11: 871–890Google Scholar
  70. 70.
    Wrede L (1912) Über Kalkablagerungen in der Umgebung des Schultergelenkes und ihre Beziehungen zur Periarthritis Humeroscapularis. Langenbecks Arch Klin Chir 99: 259–272Google Scholar
  71. 71.
    Yoshikawa G, Murakami M, Ishizawa M, Matsumoto K, Hukuda S (1996) Glomus tumor of the musculotendinous junction of the rotator cuff. A case report. Clin Orthop 250–253Google Scholar
  72. 1.
    Ark JW, Flock TJ, Flatow EL, Bigliani LU (1992) Arthroscopic treatment of calcific tendinitis of the shoulder. Arthroscopy 8: 183–188Google Scholar
  73. 2.
    Bergemann D, Stieda A (1908) ÙJber die mit Kalkablagerungen einhergehende Entzündung der Schulterschleimbeutel. Munch Med Wochenschr 52: 2699–2702Google Scholar
  74. 3.
    Bigliani LU, Morrison DS, April EW (1982) The morphology of the acromion and its relationship to the rotator cuff tear. Orthop Trans 10: 228Google Scholar
  75. 4.
    Bosworth BM (1941) Examination of the shoulder for calcium deposits. J Bone Joint Surg 23: 567–577Google Scholar
  76. 5.
    Codman EA (1909) Bursitis subacromialis, or periarthritis of the shoulder joint. Publications of the Mass Gen Hospital Boston 2: 521–591Google Scholar
  77. 6.
    Codman EA (1934) The shoulder. Todd, BostonGoogle Scholar
  78. 7.
    Ellman H (1987) Arthroscopic subacromial decompression: analysis of one-to three year results. Arthroscopy 3: 173–181Google Scholar
  79. 8.
    Esch JC, Ozerkis LR, Helgager JA, Kane N, Lilliot N (1988) Arthroscopic subacromial decompression: results according to the degreee of rotator cuff tear. Arthroscopy 4: 241–249Google Scholar
  80. 9.
    Gartner J (1993) Ist die Tendinosis calcarea HLA-Al assoziiert? Z Orthop 131: 469PubMedCrossRefGoogle Scholar
  81. 10.
    Gartner J (1993) Tendinosis calcarea - Behandlungsergebnisse mit Needling. Z Orthop 131: 461–469Google Scholar
  82. 11.
    Harmon PH (1958) Methods and results in the treatment of 2,580 painful shoulders with special reference to calcific tendinitis and the frozen shoulder. Am J Surg 95: 527–544Google Scholar
  83. 12.
    Jerosch J, Strauss JM, Schneider T (1992) Die arthroskopische subacromiale Dekompression. 1–3-JahresErgebnisse. Z Orthop 130: 406–412Google Scholar
  84. 13.
    Jerosch J, Strauss JM, Schmiel S (1996) Arthroskopische Therapie der Tendinitis calcarea - Akromioplastik oder Kalkentfernung. Unfallchirurgie 99: 946–952Google Scholar
  85. 14.
    McLaughlin HL (1963) The selection of calcium deposits for operation; the technique and results of operation. Surg Clin North Am 43: 1501–1504Google Scholar
  86. 15.
    Mole D, Kempf JF, Gleyze P, Rio B, Bonnemet F, Walch G (1993) Resultats du traitement arthroscopopique des tendinopathies non rompuques de la coiffe des rotateurs. 2e partie: les calcifications de la coiffe des rotateurs. Rev Chir Orthop Reparat Apparat Mot 79: 532–541Google Scholar
  87. 16.
    Moseley HF (1953) Shoulder Lesions, 2nd edn. Hoeber, New York, p 78Google Scholar
  88. 17.
    Mountounet J, Chevrot A, Wybier M, Godefroy D (1992) Ponction-infiltration radio-guidee des calcifications des periarthites rebelles de l’epaule. Ann Radiol Paris 35: 156–159Google Scholar
  89. 18.
    Patte CF, Goutallier D (1988) Calcifications. Rev Chir Orthop 74: 277–278Google Scholar
  90. 19.
    Pfister J, Gerber H (1994) Behandlung der Periarthropathia humero-scapularis calcarea mittels Schulterkalkspülung: retrospektive Fragebogenanalyse. Z Orthop 132: 300–305Google Scholar
  91. 20.
    Ogon P, Ogon M, Jäger A (2001) The quadrant-technique for arthroscopic treatment of rotator cuff calcifications. Arthroscopy 17: E11CrossRefGoogle Scholar
  92. 21.
    Rupp S, Seil R, Kohn P (1998) Preoperative ultrasonographic mapping of calcium depositis. Facilitates cacalisation during arthroscopic surgery for calcifying tendinitis of the rotator cuff. Arthroscopy 14: 540–542Google Scholar
  93. 22.
    Sandström C, Wahlgren F (1937) Beitrag zur Kenntnis der „Peritendinitis calcarea“ (sog. „Bursitis calculosa”) speziell vom pathologisch-histologischen Gesichtspunkt. Acta Radiol (Stockh) 18: 263–296Google Scholar
  94. 23.
    Sarkar K, Uhthoff HK (1978) Ultrastructural localization of calcium in calcifying tendinitis. Arch Pathol Lab Med 102: 266–269Google Scholar
  95. 24.
    Schaer H (1936) Die Periarthritis humeroscapularis. Ergeb Chir Orthop 29: 211–309Google Scholar
  96. 25.
    Sperner G, Resch H, Golser K, Thöni H (1992) Arthroskopisches Management bei Tendinosis calcarea. Arthroskopie 5: 74–78Google Scholar
  97. 26.
    Uhthoff HK, Sarkar K (1991) Classification and definition of tendinopathies. Clin Sports Med 10: 707–720Google Scholar
  98. 27.
    Wrede L (1912) Ober Kalkablagerungen in der Umgebung des Schultergelenkes und ihre Beziehungen zur Periarthritis scapulo-humeralis. Langbecks Arch Klin Chir 99: 259–272Google Scholar

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© Springer-Verlag Berlin Heidelberg 2002

Authors and Affiliations

  • G. Pap
  • A. Machner
  • P. Ogon
  • M. Ogon

There are no affiliations available

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