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[In Process Citation]

Rupp1, Seil, Kohn

  • 1Orthopadische Klinik und Poliklinik, Universitatskliniken|| des Saarlandes, 66421 Homburg/Saar.

Der Orthopade
|December 16, 2000
PubMed
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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.

Related Experiment Videos

  • 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.