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Calcifying Tendinitis of Shoulder: A Concise Review
Balaji Umamahesvaran1, Senthil Nathan Sambandam2, Varatharaj Mounasamy3
1KG Hospital & Post Graduate Institute, Coimbatore, Tamilnadu, India.
Journal of Orthopaedics
|June 28, 2018
Summary
Calcifying tendinitis of the shoulder is a self-limiting condition involving calcium deposits in rotator cuff muscles. Treatment ranges from conservative measures to surgical excision, with prognosis depending on early evaluation and appropriate management.
Area of Science:
- Orthopedics
- Sports Medicine
- Musculoskeletal Disorders
Background:
- Calcifying tendinitis (CT) of the shoulder is a common, self-limiting condition.
- Characterized by calcium salt deposition within rotator cuff tendons.
- Primary symptoms include pain and restricted activity, often resolving spontaneously.
Purpose of the Study:
- To review the diagnostic and management strategies for calcifying tendinitis of the shoulder.
- To outline the various treatment modalities and their indications.
- To emphasize the factors influencing patient prognosis.
Main Methods:
- Review of current literature on calcifying tendinitis management.
- Discussion of conservative treatments: NSAIDs, physiotherapy, corticosteroid injections.
- Evaluation of minimally invasive and surgical options: ESWT, ultrasound-guided barbotage, arthroscopic excision.
Main Results:
- Conservative treatments are the first line for symptomatic relief.
- Extracorporeal shockwave therapy (ESWT) and ultrasound-guided barbotage offer effective non-surgical options.
- Arthroscopic excision is reserved for complicated cases or refractory symptoms.
Conclusions:
- Early evaluation and functional assessment are crucial for calcifying tendinitis.
- The choice of treatment modality significantly impacts patient outcomes and prognosis.
- A tailored approach combining conservative and interventional methods optimizes management.
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