Therapeutic options in rotator cuff calcific tendinopathy

Area of Science:

• Orthopedics
• Musculoskeletal Medicine

Background:

• Rotator cuff calcifications present complex treatment challenges.
• Treatment decisions are influenced by deposit stage, prognosis, prior treatments, pain, and functional disability.

Purpose of the Study:

• To outline a strategic approach for managing rotator cuff calcifications.
• To emphasize the progression from conservative to invasive treatment modalities.

Main Methods:

• Review of conservative treatments, including focused shock wave therapy.
• Evaluation of minimally invasive procedures like ultrasound-guided barbotage.
• Consideration of surgical interventions such as arthroscopy and open surgery.

Main Results:

• Conservative treatments, particularly focused shock wave therapy, are recommended first-line options.
• Ultrasound-guided barbotage serves as a minimally invasive alternative if conservative methods fail.
• Surgical options remain indicated for refractory cases.

Conclusions:

• A stepwise approach, prioritizing least invasive methods, is advisable for rotator cuff calcification management.
• Treatment strategy must be individualized based on clinical presentation and patient context.