Skip to main content

Kalkschulter

  • Chapter
Schulterarthroskopie
  • 100 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Andresen J, Nielsen HE (1981) Juxta-articular erosions and calcifications in patients with renal failure. Acta Radiol Diagn (Stockh) 22: 709–713

    Google Scholar 

  2. Ark J, Flock TJ, Flatow EL, Bigliani LV (1992) Arthroscopie treatment of calcific tendinitis of the shoulder. Arthroscopy 8: 183–188

    Google Scholar 

  3. Baer WS (1907) The operative treatment of subdeltoid bursitis. Johns Hopkins Hosp Bull 18: 282–284

    Google Scholar 

  4. Baird LW (1941) Roentgen irradiation of calcaneous deposits about the shoulder. Radiology 37: 316–324

    Google Scholar 

  5. Berg EE, Cuillo JV (1995) Heterotopic ossification after acromioplasty and distal clavicle resection. J Shoulder Elbow Surg 4: 188–194

    Google Scholar 

  6. Bergemann D, Steida A (1908) Über die mit Kalkablagerungen einhergehende Entzündung der Schulterschleimbeutel. Munch Med Wochenschr 52: 2699–2702

    Google Scholar 

  7. Booth RE Jr, Marvel JP Jr (1975) Differential diagnosis of shoulder pain. Orthop Clin North Am 6: 353–379

    Google Scholar 

  8. Bosworth BM (1941) Calcium deposits in the shoulder and subacromial bursitis: a survey of 12.122 shoulders. JAMA 116: 2477–2482

    Google Scholar 

  9. Bosworth BM (1941) Examination of the shoulder for calcium deposits. J Bone Joint Surg 23: 567–577

    Google Scholar 

  10. Bradley M, Bhamra MS, Robson MJ (1995) Ultrasound guided aspiration of symptomatic supraspinatus calcific deposits. Br J Radiol 68: 716–719

    Google Scholar 

  11. Brewer BJ (1979) Aging of the rotator cuff. Am J Sports Med 7: 716–719

    Google Scholar 

  12. Codman EA (1984) Rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. The Shoulder. Todd, Boston, pp 178–215

    Google Scholar 

  13. De Mouy EH, Kaneko K, Rodriguez RP (1995) Calcified soft tissue leiomyoma of the shoulder mimicking a 35. chondrogenic tumor. Clin Imaging 19: 4–7

    Google Scholar 

  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. DeSeze S, Welfing J (1970) Tendinites calcificantes. Rheumatology 2: 5–14

    Google Scholar 

  16. Friedman MS (1957) Calcific tendinitis of the shoulder. Ann J Surg 94: 56–61 37.

    Google Scholar 

  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 171–175

    Google Scholar 

  18. Gärtner J (1993) Tendinosis calcarea–Behandlungser- 39. gebnisse mit dem Needling Z Orthop Grenzgeb 131: 461–469

    Article  Google Scholar 

  19. Gärtner J, Heyer A (1995) Tendinosis calcarea der Schulter. Orthopäde 24: 284–302 40.

    Google Scholar 

  20. Ghormley JW (1961) Calcareous tendinitis. Surg Clin North Am 4: 1721–1728

    Google Scholar 

  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. Gschwend N, Patte D, Zippel J (1972) Die Therapie der Tendinitis calcarea des Schultergelenkes. Arch Orthop 43. Unfallchir 73: 120–135

    Google Scholar 

  23. Gschwend N, Scherer M, Loehr JW (1981) Die Tendinitis calcarea des Schultergelenks. Orthopäde 10: 196–205

    PubMed  CAS  Google Scholar 

  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: 527–544

    Google Scholar 

  25. Hartig A, Huth F (1995) Neue Aspekte zur Morphologie 45. and Therapie der Tendinosis calcarea der Schultergelenke. Arthroskopie 8: 117–122

    Google Scholar 

  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 129–157

    Google Scholar 

  27. Herzog RJ (1997) Magnetic resonance imaging of the 47. shoulder. J Bone Joint Surg Am 79: 934–953

    Google Scholar 

  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. 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. 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: 183–185

    Google Scholar 

  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 377–380

    Google Scholar 

  32. Keitel W (1993) Differentialdiagnostik der Gelenker- 52. krankungen. G. Fischer, Stuttgart

    Google Scholar 

  33. Kernwein GA (1965) Roentgenographic diagnosis of 53. shoulder dysfunction. JAMA 194: 1081–1085

    Google Scholar 

  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: 20–23

    Google Scholar 

  35. Kuhlenkampff HA, Reichelt A (1989) Durchführung und Wirksamkeit konservativer Behandlungsverfahren bei Tendinosis calcarea und Supraspinatussyndrom. Orthop Praxis 4: 235–238

    Google Scholar 

  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: 293–306

    Google Scholar 

  37. Lippmann RK (1961) Observations concerning the calcific cuff deposits. Clin Orthop 20: 49–60

    Google Scholar 

  38. Litchman HM, Silver CM, Simon SD, Eshragi A (1968) The surgical mamagement of calcific tendinitis of the shoulder. Int Surg 50: 474–482

    Google Scholar 

  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: 863–867

    Google Scholar 

  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: 101–106

    Google Scholar 

  41. Machner A, Pap G, Rohkohl K, Merk H (2000) Revisionen nach arthroskopischen Eingriffen im Subacromialraum. Z Orthop Grenzgeb 138: 104–109

    Google Scholar 

  42. MacNab I (1973) Rotator cuff tendinitis. Ann R Coll Surg 53: 271–287

    Google Scholar 

  43. Matsen FAI, Lippit SB, Sidles JA, Harryman D II (1994) Synthesis: practice guidlines. Practical evaluation management of the shoulder. Saunders, Philadelphia, pp 221–230

    Google Scholar 

  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: 75–80

    Google Scholar 

  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: 354–362

    Google Scholar 

  46. McLaughlin HL (1963) Selection of calcium deposits for operation - the technique and results of operation. Surg Clin North Am 43: 1501–1504

    Google Scholar 

  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: 532–541

    Google Scholar 

  48. Neer CS (1990) Less frequent procedures. In: Neer CS (ed) Shoulder reconstruction. Saunders, Philadelphia, pp 427–433

    Google Scholar 

  49. Painter CF (1907) Subdeltoid bursitis. Boston Med Surg J 156: 345–349

    Google Scholar 

  50. Patte D, Goutallier D (1988) Calcifications. Rev Chir Orthop 74: 277–278

    Google Scholar 

  51. Pfister J, Gerber H (1994) Behandlung der Periarthropathia humeroscapularis calcarea mittels Schulterkalkspülung: retrospektive Fragebogenanalyse. Z Orthop Grenzgeb 132: 300–305

    Google Scholar 

  52. Pinals RS, Short CL (1966) Calcific periarthritis involving multiple sites (Arthritis Rheum 9: 566–574

    Google Scholar 

  53. Plenk HP (1952) Clacifying tendinitis of the shoulder. Radiology 59: 384–389

    Google Scholar 

  54. Postel JM, Goutallier D, Lambotte JC, Duparc F (1997)

    Google Scholar 

  55. Re LP, Karzel RP (1993) Management of rotator cuff calcifications. Orthop Clin North Am 24: 125–132

    Google Scholar 

  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: 196–201

    Google Scholar 

  57. Rowe CR (1985) Calcific tendinitis. Instr Course Lect 34: 196–198

    Google Scholar 

  58. Ruttiman G (1959) Über die Häufigkeit röntgenologischer Veränderungen bei Patienten mit typischer Periarthritis humeroscapularis und Schultergesunden. Dissertation, Zürich

    Google Scholar 

  59. Sengar DP, McKendry RJ, Uthoff HK (1987) Increased frequency of HLA-A1 in calcifying tendinits. Tissue Antigens 29: 173–174

    Google Scholar 

  60. Simon WH (1975) Soft tissue disorders of the shoulder. Frozen shoulder, calcific tendinitis, and bicipital tendinitis. Orthop Clin North Am 6: 521–539

    Google Scholar 

  61. Uthoff HK (1975) Calcifying tendinitis, an active cell mediated calcification. Virchows Arch A Pathol Anat Histopathol 366: 51–58

    Google Scholar 

  62. Uthoff HK, Loehr JW (1997) Calcific tendinopathy of the rotator cuff. J Am Acad Orthop Surg 5: 183–191

    Google Scholar 

  63. Uthoff HK, Loehr JW (1998) Calcifying tendinitis. In: Rockwood CA, Matsen FA (eds) The shoulder. Saunders, Philadelphia, pp 989–1008

    Google Scholar 

  64. Uthoff HK, Sakar K (1990) Calcifying tendinitis. In: Rockwood CA, Matsen FA (eds) The Shoulder. Saunders, Philadelphia, pp 774–790

    Google Scholar 

  65. Uthoff HK, Sakar K Classification and definition of tendinopathies. Clin Sports Med 1991 10: 707–720

    Google Scholar 

  66. Uthoff HK, Sakar K, Maynard JA (1976) Calcifying tendinitis. A new concept of its pathogenesis. Clin Orthop 118: 164–168

    Google Scholar 

  67. Vebostad A (1997) Calcific tendinitis in the shoulder region. A review of 43 operated shoulders. Acta Orthop Scand 46: 205–210

    Google Scholar 

  68. Welfing J, Kahn MF, Desroy M, Paolaggi JB, DeSeze S (1965) Calcifications of the shoulder. Rev Rheum 32: 325–334

    Google Scholar 

  69. Wolf WB (1992) Shoulder tendinoses. Clin Sports Med 11: 871–890

    Google Scholar 

  70. Wrede L (1912) Über Kalkablagerungen in der Umgebung des Schultergelenkes und ihre Beziehungen zur Periarthritis Humeroscapularis. Langenbecks Arch Klin Chir 99: 259–272

    Google Scholar 

  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 250–253

    Google Scholar 

  72. Ark JW, Flock TJ, Flatow EL, Bigliani LU (1992) Arthroscopic treatment of calcific tendinitis of the shoulder. Arthroscopy 8: 183–188

    Google Scholar 

  73. Bergemann D, Stieda A (1908) ÙJber die mit Kalkablagerungen einhergehende Entzündung der Schulterschleimbeutel. Munch Med Wochenschr 52: 2699–2702

    Google Scholar 

  74. Bigliani LU, Morrison DS, April EW (1982) The morphology of the acromion and its relationship to the rotator cuff tear. Orthop Trans 10: 228

    Google Scholar 

  75. Bosworth BM (1941) Examination of the shoulder for calcium deposits. J Bone Joint Surg 23: 567–577

    Google Scholar 

  76. Codman EA (1909) Bursitis subacromialis, or periarthritis of the shoulder joint. Publications of the Mass Gen Hospital Boston 2: 521–591

    Google Scholar 

  77. Codman EA (1934) The shoulder. Todd, Boston

    Google Scholar 

  78. Ellman H (1987) Arthroscopic subacromial decompression: analysis of one-to three year results. Arthroscopy 3: 173–181

    Google Scholar 

  79. 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: 241–249

    Google Scholar 

  80. Gartner J (1993) Ist die Tendinosis calcarea HLA-Al assoziiert? Z Orthop 131: 469

    Article  PubMed  CAS  Google Scholar 

  81. Gartner J (1993) Tendinosis calcarea - Behandlungsergebnisse mit Needling. Z Orthop 131: 461–469

    Google Scholar 

  82. 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: 527–544

    Google Scholar 

  83. Jerosch J, Strauss JM, Schneider T (1992) Die arthroskopische subacromiale Dekompression. 1–3-JahresErgebnisse. Z Orthop 130: 406–412

    Google Scholar 

  84. Jerosch J, Strauss JM, Schmiel S (1996) Arthroskopische Therapie der Tendinitis calcarea - Akromioplastik oder Kalkentfernung. Unfallchirurgie 99: 946–952

    Google Scholar 

  85. McLaughlin HL (1963) The selection of calcium deposits for operation; the technique and results of operation. Surg Clin North Am 43: 1501–1504

    Google Scholar 

  86. 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: 532–541

    Google Scholar 

  87. Moseley HF (1953) Shoulder Lesions, 2nd edn. Hoeber, New York, p 78

    Google Scholar 

  88. 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: 156–159

    Google Scholar 

  89. Patte CF, Goutallier D (1988) Calcifications. Rev Chir Orthop 74: 277–278

    Google Scholar 

  90. Pfister J, Gerber H (1994) Behandlung der Periarthropathia humero-scapularis calcarea mittels Schulterkalkspülung: retrospektive Fragebogenanalyse. Z Orthop 132: 300–305

    Google Scholar 

  91. Ogon P, Ogon M, Jäger A (2001) The quadrant-technique for arthroscopic treatment of rotator cuff calcifications. Arthroscopy 17: E11

    Article  Google Scholar 

  92. 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: 540–542

    Google Scholar 

  93. Sandström C, Wahlgren F (1937) Beitrag zur Kenntnis der „Peritendinitis calcarea“ (sog. „Bursitis calculosa”) speziell vom pathologisch-histologischen Gesichtspunkt. Acta Radiol (Stockh) 18: 263–296

    Google Scholar 

  94. Sarkar K, Uhthoff HK (1978) Ultrastructural localization of calcium in calcifying tendinitis. Arch Pathol Lab Med 102: 266–269

    Google Scholar 

  95. Schaer H (1936) Die Periarthritis humeroscapularis. Ergeb Chir Orthop 29: 211–309

    Google Scholar 

  96. Sperner G, Resch H, Golser K, Thöni H (1992) Arthroskopisches Management bei Tendinosis calcarea. Arthroskopie 5: 74–78

    Google Scholar 

  97. Uhthoff HK, Sarkar K (1991) Classification and definition of tendinopathies. Clin Sports Med 10: 707–720

    Google Scholar 

  98. Wrede L (1912) Ober Kalkablagerungen in der Umgebung des Schultergelenkes und ihre Beziehungen zur Periarthritis scapulo-humeralis. Langbecks Arch Klin Chir 99: 259–272

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2002 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Pap, G., Machner, A., Ogon, P., Ogon, M. (2002). Kalkschulter. In: Nebelung, W., Wiedemann, E. (eds) Schulterarthroskopie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09820-2_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-09820-2_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-09821-9

  • Online ISBN: 978-3-662-09820-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics