Tendinitis Of Shoulder Research Articles

Percutaneous needle aspiartion of calcific tendinitis: A modified technique

Calcific tendinitis of shoulder is a disorder common in middle aged women. It goes through a cyclical course to leave a residual stiffness. Several therapies such as sonography, acetic acid iontophoresis,shockwave lithotripsy, and percutaneous aspiration of the calcifications have been tried. Surgical treatment has been used as last option. Among these, percutaneous needle aspiration under ultrasonography with a modified technique has been successful in a 48 year female with dramatic relief of symptoms in few weeks to months. Hence this technique which is minimally invasive and painful can be used widely for this common disorder as a therapeutic method.

Effects of phonophoresis with acetic acid in the treatment of calcific tendinitis of the shoulder: case report

Background: The calcific tendinitis of the shoulder is a dysfunction conservatively treated by shock waves, iontophoresis, and phonophoresis, associated or not with the use of acetic acid. Objective: To check the effects of phonophoresis with acetic acid in the treatment of calcific tendinitis of the shoulder in resorption stage. Methods: Measurements of ROM, muscle strength and functionality of the shoulder (SPADI) were made pre and post-physiotherapeutic treatment. The treatment protocol consisted of 10 sessions of therapeutic ultrasound with acetic acid (frequency = 3 MHz; intensity = 1.4 W/cm2; pulsed mode of 1:4), for 10 minutes, 3 times a week. The data were analyzed using the SPSS software (20.0), through the Student’s t-test (paired) considering a significance level of 5%. Results: There was significant improvement regarding the ROM, muscle strength and functionality of the right shoulder (SPADI) comparing pre vs. post-treatment (P<0.01). In addition, there were no statistically significant differences (P>0.05), in the comparison between the shoulders (right X left) in the post-treatment. Conclusion: According to the results of this case study, the protocol used (10 sessions of therapeutic ultrasound + 5% acetic acid) was effective in the treatment of calcific tendinitis of shoulder, improving the ROM, muscle strength and functional capacity, in addition to eliminating the pain of the shoulder affected.

Modes de récupération après traitement arthroscopique d’une tendinite calcifiante de l’épaule

IntroductionThe purpose of this study was to investigate serial outcomes in the early postoperative period in patients who have undergone arthroscopic treatment for calcific tendinitis of the shoulder and to determine prognostic factors affecting outcomes. HypothesisOur hypothesis was that functional recovery will take more than three months but additional procedures such as rotator cuff repair and subacromial decompression will have a slower recovery and poorer outcomes. Material and methodsWe retrospectively reviewed 35 patients with a mean follow-up of 50.6 months. Arthroscopic surgery was performed in all patients. The visual analog scale (VAS) pain score; University of California, Los Angeles (UCLA) score; American Shoulder and Elbow Surgeons (ASES) score were evaluated preoperatively; 3, 6, and 12 months after surgery; and at the final follow-up. To evaluate the extent of calcific deposit removal and recurrence of calcification, we conducted plain radiography at each follow-up. ResultsNine patients had complete removal of all calcium deposits, and 26 had partial removal. At the final follow-up, all patients sustained complete resorption without any recurrence. All clinical scores showed improvement significantly in each follow-up period (p<0.001). However, VAS pain score decreased to less than 3 points at 6 months after surgery, UCLA and ASES scores also increased more than 75 percent at 6 months. Subacromial decompression was negatively correlated with VAS pain score and rotator cuff repair was negatively correlated with UCLA score, respectively (p=0.041 and p=0.028). On multivariate analysis, rotator cuff repair was negatively correlated with the final UCLA score (p=0.009). ConclusionThis study revealed that all clinical scores were significantly improved from 3 months after arthroscopic treatment for calcific tendinitis of shoulder. However, clinical scores improved slowly, recovery of shoulder function and pain relief required up to 6 months. Subacromial decompression and rotator cuff repair were poor prognostic factors after arthroscopic treatment. Level of evidenceIV, retrospective case series.

Recovery pattern after arthroscopic treatment for calcific tendinitis of the shoulder

IntroductionThe purpose of this study was to investigate serial outcomes in the early postoperative period in patients who have undergone arthroscopic treatment for calcific tendinitis of the shoulder and to determine prognostic factors affecting outcomes. HypothesisOur hypothesis was that functional recovery will take more than three months but additional procedures such as rotator cuff repair and subacromial decompression will have a slower recovery and poorer outcomes. Material and methodsWe retrospectively reviewed 35 patients with a mean follow-up of 50.6 months. Arthroscopic surgery was performed in all patients. The visual analog scale (VAS) pain score; University of California, Los Angeles (UCLA) score; American Shoulder and Elbow Surgeons (ASES) score were evaluated preoperatively; 3, 6, and 12 months after surgery; and at the final follow-up. To evaluate the extent of calcific deposit removal and recurrence of calcification, we conducted plain radiography at each follow-up. ResultsNine patients had complete removal of all calcium deposits, and 26 had partial removal. At the final follow-up, all patients sustained complete resorption without any recurrence. All clinical scores showed improvement significantly in each follow-up period (p<0.001). However, VAS pain score decreased to less than 3 points at 6 months after surgery, UCLA and ASES scores also increased more than 75 percent at 6 months. Subacromial decompression was negatively correlated with VAS pain score and rotator cuff repair was negatively correlated with UCLA score, respectively (p=0.041 and p=0.028). On multivariate analysis, rotator cuff repair was negatively correlated with the final UCLA score (p=0.009). ConclusionThis study revealed that all clinical scores were significantly improved from 3 months after arthroscopic treatment for calcific tendinitis of shoulder. However, clinical scores improved slowly, recovery of shoulder function and pain relief required up to 6 months. Subacromial decompression and rotator cuff repair were poor prognostic factors after arthroscopic treatment. Level of evidenceIV, Retrospective Case Series.

Comparison of imaging findings between calcific tendinitis with subacromial-subdeltoid bursitis and adhesive capsulitis

Objective To evaluate radiographic and ultrasound (US) findings in the patients with calcific tendinitis of shoulder and compare these imaging findings between the patients with subacromial-subdeltoid (SASD) bursitis and adhesive capsulitis (AC) alone. Methods One hundred-thirty-four shoulders (129 patients, 36 men, 93 women; mean age, 56.9+ 9.3 years; range, 33-84 years) that were diagnosed as calcific tendinitis of shoulder on US were recruited from January 1st 2013 to June 31th 2018. Radiographic morphology of calcification was classified by Gartner and Simons method. US morphology of calcification was classified as arc-shaped, fragmented, nodular, cystic, and linear type. Size of calcification was measured as the maximal diameter on radiograph and US. Power Doppler signal intensity in calcification was graded as no signal, mild, moderate, and severe. Location of calcification in tendon was classified as bursal side, articular side, and full-thickness involvement. The patients were allocated into two groups according to response to US guided injection; group 1 (responder to SASD bursa injection, 75 patients, 21 men, 54 women; mean age, 56.3 ± 9.1 years; range, 33-77 years) and group 2 (responder to glenohumeral joint injection, 54 patients, 15 men, 39 women; mean age, 57.7 ± 9.5 years; range, 43-84 years). Results There was no significant difference of demographic data between two groups. There was a significant difference of US morphology, power Doppler signal intensity, and location of calcification between two groups. Fragmented type was 55 calcifications (75.3%) in group 1 and 18 (24.7%) in group 2, and arc-shaped type was 20 (69.0%) in group 2 and 9 (31.0%) in group 1 (p Articular side location was 39 calcifications (61.9%) in group 2 and 24 (38.1%) in in group 1, and bursal side/full-thickness were 24 (85.7%) / 30 (69.8%) in group 1 and 4 (14.3%) / 13 (30.2%) in group 2 (p Conclusions Our results indicated that the morphology, power Doppler signal intensity, and location of calcification on US is associated with the pain of shoulder calcific tendinitis. Therefore, the US assessment of morphology, power Doppler signal intensity, and location of calcification can help to decide the target of treatment in the patients with shoulder calcific tendinitis.

Outcome of Needle Fenestration, Subacromial Steroid and Diclofenac Phonophoresis in Acute Calcific Tendinitis of Shoulder

Acute calcific tendinitis of shoulder is very painful and disturbing condition. There are many modalities with variable outcome to address the condition. We studied needling technique with multiple fenestration, subacromial steroid and diclofenac phonophoresis and evaluated the outcome in term of pain relief and improvement of shoulder function at a simple outpatient clinical set up without image or ultrasound guidance. We studied cases of acute calcific tendinitis presenting within one week from onset of symptoms and X-ray showing calcific deposit. All underwent needle fenestration at maximum tender site with lignocaine loaded syringe, subsequent injection of 40 mg subacromial methylprednisolone and diclofenac phonophoresis done by qualified physiotherapist for five days. Visual Analogue Scale was used to measure pain, Simple shoulder Test applied to evaluate shoulder function and size of calcific deposit was measured at maximum length. Pain subsided dramatically and there was substantial improvement of shoulder function within a week. Needle fenestration and subacromial methylprednisolone along with diclofenac phonophoresis without image guidance gives excellent pain reduction and improves shoulder function which can be done at simple outpatient clinic.

The Effect of Extracorporeal Shock Wave Therapy for Calcific Tendinitis of the Shoulder

To evaluate the functional and radiologic outcomes of extracorporeal shock wave therapy (ESWT) in shoulders with chronic calcific tendinitis. We report a retrospective study to compare the outcome after ESWT (group l, 15 cases) with the effect of medication treatment (group 2, 15 cases) in patients with chronic calcific tendinitis. Patients were aged 42 to 58 years, mean of 48 years and treated with extracorporeal shock waves or medication from September 2012 to May 2014. The ESWT was performed six cycles of shock waves, weekly treatment for the three cycles and the rest cycles after 2 weeks of pause. In the same period, there were 12 women and 3 men treated with medication treatment for calcific tendinitis. The clinical outcomes were evaluated according to Constant and Murley score and pain visual analogue scale. Radiologic evaluation was performed to confirm disintegration of calcific deposits 3 months and 6 months after treatment. Clinical outcomes were significantly improved in ESWT group, and there was significant difference between ESWT group and medication group. In radiographic evaluation, the calcific deposit was significantly decreased in ESWT group. ESWT therapy is more effective to achieve functional improvement and to alleviate pain in the patients with calcific tendinitis of the shoulder.

Calcific Tendinitis of the Supraspinatus Tendon in a 7-year-old Girl - A Case Report -

C alcific supraspinatus tendinitis is extremely rare in children. W e report a case of a 7-year-old girl with painful calcific supraspinatus tendinitis of the right shoulder. The child was treated with arthroscopic surgery. After surgery, she made a full recovery. The radiographs taken six month after surgery showed no recurrence of the calcification. Physi cians should be aware that unspecific shoulder pain in children can be caused by calcific supraspinatus tendinitis.

Ultrasound for Calcific Tendinitis of the Shoulder

Calcific tendinitis of the shoulder's rotator cuff tendons may cause considerable pain at rest or with motion. Ultrasound therapy is sometimes used for

肩関節石灰沈着性腱板炎の病態に関する研究-特に石灰化結晶の微細構造について-

肩関節石灰沈着性腱板炎の病態に関する研究-特に石灰化結晶の微細構造について-

Tendinitis and bursitis of the shoulder. Anatomy and therapy.

(1983). Tendinitis and bursitis of the shoulder. Postgraduate Medicine: Vol. 73, No. 5, pp. 177-190.

Calcific Tendinitis of Shoulder Associated with Intraosseous Involvement: A Case Report

PURPOSE: We present an atypical case of calcific tendinitis of the shoulder with intraosseous loculation.MATERIALS AND METHODS: A 59 year-old female complained of acute exacerbation of chronic left shoulder pain and restricted range of motion. Simple radiographs showed a subacromial calcific deposit and magnetic resonance imaging revealed cortical erosion with intraosseous extension of calcific material mimicking infection or tumor. She was managed with arthroscopic excision of the calcific deposit, curettage of the intraosseous lesion and subsequent rotator cuff repair with a suture anchor.RESULTS: Her acute pain promptly subsided. Her rehabilitation was uneventful and she gained full range of motion. Radiographs five months after the operation showed no recurrence of calcific material.CONCLUSION: Calcific tendinitis of the shoulder can present with a variety of images involving the adjacent bone. The correct recognition of this disorder may avoid unnecessary investigation and treatment.