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[In Process Citation]
1Orthopadische Klinik und Poliklinik, Universitatskliniken|| des Saarlandes, 66421 Homburg/Saar.
Der Orthopade
|December 16, 2000
Summary
Calcifying tendinitis of the rotator cuff is a common shoulder disorder. Treatment depends on the disease stage, with a focus on spontaneous healing, but may involve conservative care, shock wave therapy, or surgery.
Area of Science:
- Orthopedics
- Musculoskeletal Disorders
- Radiology
Background:
- Calcifying tendinitis of the rotator cuff is a prevalent shoulder condition.
- It primarily affects individuals aged 30-50.
- The exact cause remains unclear, but it involves a cellular, reactive calcification process within the tendon.
Purpose of the Study:
- To outline the natural history and evolutionary stages of calcifying tendinitis.
- To guide treatment strategies based on the disease's progression.
- To evaluate the effectiveness of various therapeutic interventions.
Main Methods:
- Clinical observation of disease progression through natural history.
- Assessment of plain X-rays and ultrasound findings to determine the stage of calcification.
- Evaluation of treatment outcomes including conservative management, extracorporeal shock wave therapy (ESWT), needling, and arthroscopic surgery.
Main Results:
- Calcifying tendinitis progresses through distinct stages: precalcific, calcific (formative, resting, resorption), and postcalcific.
- The condition often shows a tendency towards spontaneous resorption and self-healing.
- Treatment efficacy varies by stage; resorption phase favors conservative care, while persistent cases may require ESWT, needling, or arthroscopic intervention.
Conclusions:
- Understanding the natural history and evolutionary stages is crucial for effective treatment of rotator cuff calcifying tendinitis.
- A staged therapeutic approach, tailored to the disease's progression, is recommended.
- While conservative measures and surgical options exist, the efficacy of ESWT and needling requires further validation.
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