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Updated: May 30, 2026

05:17
Treatment Protocol for Rotator Cuff Calcific Tendinitis Using a Single-Crystal Piezoelectric Focused Shock Wave Source
Published on: December 23, 2022
[Calcific tendinitis of the shoulder]
P Diehl1, L Gerdesmeyer, H Gollwitzer
1Orthopädische Klinik und Poliklinik, Universität Rostock, Rostock, Deutschland. info@oz-mo.de
Der Orthopade
|August 5, 2011
Summary
Calcific tendinitis involves calcium deposits in shoulder rotator cuff tendons, affecting adults aged 30-50. Most cases resolve with nonoperative treatments like medication and injections, but surgery may be needed if these fail.
Area of Science:
- Orthopedics
- Rheumatology
- Sports Medicine
Context:
- Calcific tendinitis of the shoulder is a common condition characterized by calcium crystal deposition in rotator cuff tendons.
- It primarily affects individuals between 30 and 50 years of age, with unclear etiology.
- Diagnosis relies on clinical presentation, physical examination, and imaging like X-rays and ultrasound.
Purpose:
- To summarize the current understanding of calcific tendinitis of the shoulder.
- To outline diagnostic criteria and common symptoms.
- To review established and alternative treatment modalities.
Summary:
- The condition presents with pain radiating to the forearm, often with night pain and resting tenderness.
- Nonoperative management, including rest, NSAIDs, corticosteroid injections, and shock wave therapy, is the primary treatment approach.
- Nonoperative treatments are successful in approximately 90% of cases; arthroscopic surgery offers excellent outcomes for refractory cases.
Impact:
- Provides a comprehensive overview for clinicians managing shoulder pain.
- Highlights the efficacy of conservative treatments and the role of surgery when indicated.
- Informs patients about the nature, diagnosis, and treatment options for calcific tendinitis.
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