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Calcific Tendonitis

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15 papers 25 to 100 followers
Federico Del Castillo-González, Juan J Ramos-Alvarez, Guillermo Rodríguez-Fabián, José González-Pérez, Elena Jiménez-Herranz, Enrique Varela
BACKGROUND: Extracorporeal shockwave treatment (ESWT) and ultrasound-guided percutaneous lavage (UGPL) are two effective ways of treating rotator cuff calcific tendinopathy (RCCT). AIM: The aim of the present study was to compare the effectiveness of these techniques in the treatment of RCCT. DESIGN: Prospective, randomized, controlled trial. SETTING: Patients treated in our sports medicine and rehabilitation center (Centro Médico Deyre, Madrid...
April 2016: European Journal of Physical and Rehabilitation Medicine
Jan K G Louwerens, Ewout S Veltman, Arthur van Noort, Michel P J van den Bekerom
PURPOSE: The objectives of this comprehensive quantitative review of the treatment of calcific tendinopathy of the rotator cuff were to investigate if there is a sustainable positive effect on outcomes after treatment with high-energy extracorporeal shockwave therapy (ESWT) or ultrasound (US)-guided needling and to compare these results with those of treatment with arthroscopic surgery. METHODS: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to conduct this review...
January 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Luca Maria Sconfienza, Sara Viganò, Chiara Martini, Alberto Aliprandi, Pietro Randelli, Giovanni Serafini, Francesco Sardanelli
Rotator cuff calcific tendinitis is a very common disease and may result in a very painful shoulder. Aetiology of this disease is still poorly understood. When symptoms are mild, this disease may be treated conservatively. Several treatment options have been proposed. Among them, ultrasound-guided procedures have been recently described. All procedures use one or two needles to inject a fluid, to dissolve calcium and to aspirate it. In the present article, we review some tips and tricks that may be useful to improve performance of an ultrasound-guided double-needle procedure...
January 2013: Skeletal Radiology
Jan K G Louwerens, Inger N Sierevelt, Ruud P van Hove, Michel P J van den Bekerom, Arthur van Noort
BACKGROUND: Calcific tendinopathy is one of the most frequent causes of pain in the shoulder and is characterized by the presence of calcific deposits in the rotator cuff; however, calcific deposits have also been described in asymptomatic individuals. Only a few authors have reported epidemiologic data on the prevalence of calcific deposits in the rotator cuff. METHODS: This study analyzed clinical and radiological data of 1219 adults with and without subacromial pain syndrome (SAPS) to assess the prevalence of calcific deposits in the rotator cuff...
October 2015: Journal of Shoulder and Elbow Surgery
Felix Grases, Lorenzo Muntaner-Gimbernat, Mar Vilchez-Mira, Antonia Costa-Bauzá, Fernando Tur, Rafel Maria Prieto, Margalida Torrens-Mas, Fabiana Gisela Vega
Calcific tendinopathy of the tendons of the rotator cuff is common in adults. These calcifications tend to be reabsorbed after a period of acute pain. This study evaluated the morphologic characteristics of calcific deposits and the participation of phytate and osteopontin (OPN) in their development. Calcific deposits were removed from 21 patients with calcific tendinopathy by ultrasound-guided needle puncture under local anesthesia. The removed deposits were evaluated by scanning electron microscopy, X-ray diffraction and Fourier transform infrared spectroscopy...
April 2015: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Giovanni Merolla, Sanjay Singh, Paolo Paladini, Giuseppe Porcellini
Calcific tendinitis is a painful shoulder disorder characterised by either single or multiple deposits in the rotator cuff tendon. Although the disease subsides spontaneously in most cases, a subpopulation of patients continue to complain of pain and shoulder dysfunction and the deposits do not show any signs of resolution. Although several treatment options have been proposed, clinical results are controversial and often the indication for a given therapy remains a matter of clinician choice. Herein, we report on the current state of the art in the pathogenesis, diagnosis and treatment of calcific tendinitis of the rotator cuff...
March 2016: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
F Alan Barber, Courtney H Cowden
Calcific tendonitis, or calcifying tendonitis, is a common disorder characterized by the multifocal accumulation of basic calcium phosphate crystals within the rotator cuff tendons. In most cases, the multifocal calcifications are located 1 to 2 cm from the insertion of the supraspinatus tendon on the greater tuberosity. The initial treatment should be nonoperative including oral anti-inflammatory medication and physical therapy. If this is unsuccessful, arthroscopic debridement of the deposit is effective...
April 2014: Arthroscopy Techniques
Richard A Marder, Eric A Heiden, Sunny Kim
HYPOTHESIS: We postulated that treatment of patients with calcific tendonitis of the supraspinatus tendon by debridement of the calcific deposit alone was comparable to treatment by debridement and concomitant subacromial decompression. MATERIALS AND METHODS: During a 10-year period, 50 consecutive patients with calcific tendonitis refractory to nonoperative measures were surgically treated by debridement (D) as an isolated procedure (25 patients) or by debridement and concomitant subacromial decompression (D+SAD; 25 patients), and the surgical groups were retrospectively compared...
September 2011: Journal of Shoulder and Elbow Surgery
Giovanni Serafini, Luca M Sconfienza, Francesca Lacelli, Enzo Silvestri, Alberto Aliprandi, Francesco Sardanelli
PURPOSE: To compare short- and long-term outcomes of patients with rotator cuff calcific tendonitis who did and did not undergo ultrasonographically (US)-guided percutaneous treatment. MATERIALS AND METHODS: Institutional review board approval and informed patient consent were obtained. Of patients referred for US-guided treatment of rotator cuff calcific tendonitis, 219 (86 men, 133 women; mean age, 40.3 years +/- 10.9 [standard deviation]) were treated; 68 (31 men, 37 women; mean age, 40...
July 2009: Radiology
Raveendhara R Bannuru, Nina E Flavin, Elizaveta Vaysbrot, William Harvey, Timothy McAlindon
BACKGROUND: Calcific and noncalcific tendinitis of the shoulder can be unresponsive to conventional therapies. Extracorporeal shock-wave therapy (ESWT) has been suggested as an alternative treatment. PURPOSE: To assess the efficacy of ESWT in patients with calcific and noncalcific tendinitis. DATA SOURCES: MEDLINE, Cochrane Central Register of Controlled Trials, EMBASE, Web of Science, and Google Scholar were searched up to 1 November 2013...
April 15, 2014: Annals of Internal Medicine
F U Verstraelen, N J H M In den Kleef, L Jansen, J W Morrenhof
BACKGROUND: There are several treatment options for calcifying tendinitis of the shoulder. The next step treatment after conservative treatment fails is still a matter of dispute. Extracorporeal shock wave therapy (ESWT) has been shown to be a good alternative to surgery, but the best treatment intensity remains unknown. High-energy ESWT is much more painful, more expensive, and usually is done in an inpatient setting, whereas low-energy ESWT can be performed in an outpatient setting by a physical therapist...
September 2014: Clinical Orthopaedics and related Research
Francesco Ioppolo, Maria Tattoli, Luca Di Sante, Teresa Venditto, Lucrezia Tognolo, Mariachiara Delicata, Rosaria Sabrina Rizzo, Gianluca Di Tanna, Valter Santilli
OBJECTIVES: To evaluate the effectiveness of shock wave therapy (SWT) for functional improvement and the reduction of pain in patients with calcific tendinitis of the shoulder, and to determine the rate of disappearance of calcifications after therapy at 6 months' follow-up. DATA SOURCES: Articles were searched from the Cochrane Library, MEDLINE, Embase, CINAHL, and Ovid database. STUDY SELECTION: We included randomized controlled trials from 1992 to 2011, and their quality was assessed using the Physiotherapy Evidence Database (PEDro) scale...
September 2013: Archives of Physical Medicine and Rehabilitation
Pieter Bas de Witte, Jasmijn W Selten, Ana Navas, Jochem Nagels, Cornelis P J Visser, Rob G H H Nelissen, Monique Reijnierse
BACKGROUND: Calcific tendinitis of the rotator cuff (RCCT) is frequently diagnosed in patients with shoulder pain, but there is no consensus on its treatment. PURPOSE: To compare 2 regularly applied RCCT treatments: ultrasound (US)-guided needling and lavage (barbotage) combined with a US-guided corticosteroid injection in the subacromial bursa (subacromial bursa injection [SAI]) (group 1) versus an isolated SAI (group 2). STUDY DESIGN: Randomized controlled trial; Level of evidence, 1...
July 2013: American Journal of Sports Medicine
Daniel L Gatt, Charalambos P Charalambous
PURPOSE: A systematic review was performed to assess the outcomes and complications of ultrasound-guided barbotage (repeated injection and aspiration) for calcific tendonitis of the shoulder. METHODS: A literature search of the Medline, Embase, and Cochrane databases using all relevant keywords found 1,454 original articles. After removal of duplicates and application of inclusion criteria, 13 original articles were selected for review. Articles that used fluoroscopic guidance rather than ultrasound guidance were excluded from the review...
September 2014: Arthroscopy: the Journal of Arthroscopic & related Surgery
Jan K G Louwerens, Inger N Sierevelt, Arthur van Noort, Michel P J van den Bekerom
BACKGROUND: This meta-analysis assessed the short-term to midterm effectiveness of minimally invasive treatments in the management of calcifying tendinopathy of the shoulder cuff, a common source of chronic shoulder pain that leads to pain, a decreased active range of motion, and loss of muscular strength. When conservative therapies fail, minimally invasive treatment options can be considered before resulting to surgery. MATERIALS AND METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to conduct this review...
August 2014: Journal of Shoulder and Elbow Surgery
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