Examination of concomitant glenohumeral pathologies in patients treated arthroscopically for calcific tendinitis of the shoulder and implications for routine diagnostic joint exploration

Lang, Gernot; Izadpanah, Kaywan; Kubosch, Eva Johanna; Maier, Dirk; Südkamp, Norbert P.; Ogon, Peter

doi:10.1186/s12891-017-1839-z

Cited by 6 publications

(3 citation statements)

References 62 publications

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“…Ecalle et al 12 conducted a retrospective comparison of 340 cases of shoulder CT and found that glenohumeral joint exploration was routinely performed during arthroscopic surgery, which could lead to shoulder stiffness after surgery. Lang et al 15 found that the probability of shoulder CT with intra-articular lesions was low, and conventional diagnostic glenohumeral joint exploration seemed to have no benefit in treating CT of the shoulder joint during arthroscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Surgery Versus Nonoperative Treatment for Calcific Tendinitis of the Shoulder: A Retrospective Cohort Study

Chen,

Deng,

Liu

et al. 2024

Am J Sports Med

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Background: Treatment options for calcific tendinitis (CT) of the shoulder remain controversial. A consensus for an operative indication for this condition is lacking. Purpose: To compare nonoperative versus operative treatment for shoulder CT and analyze factors affecting the prognosis after treatment. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 180 patients diagnosed with symptomatic CT between January 2017 and September 2021 were evaluated in this retrospective cohort study. There were 103 patients treated nonoperatively at our institution, which included the use of nonsteroidal anti-inflammatory drugs, acupuncture, steroid injections, extracorporeal shock wave therapy, and ultrasound-guided needle aspiration/percutaneous irrigation. However, 77 patients were treated with arthroscopic surgery after 6 months of failed nonoperative treatment. The visual analog scale (VAS) for pain, the Constant-Murley score, and imaging were used to assess and evaluate outcomes. Descriptive data, functional outcomes, and imaging findings were compared between the operative and nonoperative groups before and after propensity score matching. Additionally, prognostic factors including calcium deposit size, tendon infiltration by calcium deposits, involvement of single or multiple tendons, and occurrence of rotator cuff tears were analyzed by comparing the groups to determine their effect on treatment options and recovery. Results: Magnetic resonance imaging showed that the supraspinatus tendon (66.7%) was most commonly involved, followed by the infraspinatus (42.8%) and subscapularis (21.1%) tendons. Tendon infiltration by calcium deposits was observed in 84.4% of the patients, and rotator cuff tears occurred in 30.0% of the patients. After propensity score matching, there was no significant difference in changes in the Constant-Murley score (48.1 ± 25.4 vs 49.0 ± 22.8, respectively; P = .950) and VAS score (4.9 ± 2.3 vs 4.5 ± 1.9, respectively; P = .860) between the operative and nonoperative groups at the final follow-up. However, for patients with shoulder CT and without rotator cuff tears, there was a significant difference in changes in the Constant-Murley score (52.93 ± 25.18 vs 42.13 ± 22.35, respectively; P = .012) and VAS score (5.21 ± 2.06 vs 3.81 ± 1.98, respectively; P < .001) between the operative and nonoperative groups, but the recovery time in the operative group was longer than that in the nonoperative group (86.92 ± 138.56 vs 30.42 ± 54.97 days, respectively; P = .016). The results also showed that calcium deposit size, involvement of multiple tendons, and tendon infiltration by calcium deposits did not affect the recovery time after treatment. The survival analysis showed that rotator cuff tears affected the complete recovery of shoulder function. Conclusion: This study demonstrated no significant difference between nonoperative and operative treatment for patients with shoulder CT, on the whole. However, for patients with shoulder CT and without rotator cuff tears, the effect of operative treatment was better than that of nonoperative treatment; yet, operative treatment was shown to prolong the recovery time. Calcium deposit size, tendon infiltration by calcium deposits, and involvement of multiple tendons did not correlate with recovery time or the recovery of function. A rotator cuff tear was the only factor affecting the complete recovery of shoulder function.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Surgery Versus Nonoperative Treatment for Calcific Tendinitis of the Shoulder: A Retrospective Cohort Study

Chen,

Deng,

Liu

et al. 2024

Am J Sports Med

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“…It is characterized by multifocal accumulation of basic calcium phosphate crystals within the tendons of the rotator cuff and the occurrence of acute and chronic pain that leads to limitation of range of motion and function of the shoulder joint. The reported incidence of rotator cuff tendon calcifications varies from 2.7% to 20% of asymptomatic cases of CTRC of the shoulder [1] and 51% to 90% of calcifications are located within 1-2 cm from the insertion of the tendon of musculus supraspinatus.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Immediate Effects of Extracorporeal Shockwave Therapy and Conventional Physical Therapy in Patients With Calcific Tendinitis of the Shoulder Rotator Cuff

Manoleva

Dimitrova

Koevska

et al. 2023

AMJ

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Calcific tendinitis of the shoulder is a frequent disorder with an unknown etiology. It is usually treated with different physical therapy modalities where extracorporeal shockwave therapy comes as a new effective method.The aim of the study was to compare extracorporeal shockwave therapy and conventional physical therapy in the treatment of calcific tendinitis of the rotator cuff of the shoulder.The study is a prospective, monocentric clinical trial involving 40 patients with calcific tendinitis of the rotator cuff of the shoulder who were divided into two groups: group 1 (study group), 20 patients receiving extracorporeal shockwave therapy and performing shoulder exercises, and group 2 (control group), 20 patients who received conventional physical therapy with therapeutic ultrasound and diadynamic currents and performed shoulder exercises. Patients were evaluated with a Numerical Pain Scale and the range of motion in the shoulder joint was assessed. Clinical findings were evaluated before starting treatment and at the end of the treatment.All patients after the treatment showed statistically significantly better results in the Numerical Pain Scale and the shoulder range of motion.Extracorporeal shockwave therapy is a safe and non-invasive treatment that reduces pain and improves range of motion in the treatment of calcific tendinitis of the rotator cuff.

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“…The reported incidence of rotator cuff tendon calcifications varies from 2.7% to 20% of asymptomatic cases of CTRC of the shoulder [1]. It is estimated that 51% to 90% of calcifications are located at 1-2 cm.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Extracorporeal Shock Wave Therapy in Treatment of Calcifyng Tendinitis of the Rotator Cuff of the Shoulder

Manoleva,

Koevska,

Mitrevska

et al. 2022

JMS

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Calcifying tendinitis of a shoulder is a frequent disorder with an unknown etiology. It is usually treated with different physical therapy modalities where extracorporeal shockwave therapy comes as a new effective method.Objective: to assess the impact of extracorporeal shockwave therapy in the treatment of calcifying tendinitis of the rotator cuff of the shoulder.The study is a prospective, monocentric clinical study involving 13 patients who received extracorporeal shockwave therapy in 5 treatments, applied once a week in one session. The patients were evaluated with a Visual analog scale for pain and measurement of the range of motion of the shoulder joint. Clinical findings were evaluated before starting the treatment with extracorporeal shockwave therapy and at the end of the treatment, 5 weeks later.After the treatment all the patients had statistically significantly better results in the Visual analogue scale for pain and the range of motion in the shoulder joint.Extracorporeal shock wave therapy is a safe and non-invasive treatment that reduces pain and improves range of motion in the treatment of calcifying tendinitis of the rotator cuff.

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Examination of concomitant glenohumeral pathologies in patients treated arthroscopically for calcific tendinitis of the shoulder and implications for routine diagnostic joint exploration

Cited by 6 publications

References 62 publications

Arthroscopic Surgery Versus Nonoperative Treatment for Calcific Tendinitis of the Shoulder: A Retrospective Cohort Study

Arthroscopic Surgery Versus Nonoperative Treatment for Calcific Tendinitis of the Shoulder: A Retrospective Cohort Study

Comparison of Immediate Effects of Extracorporeal Shockwave Therapy and Conventional Physical Therapy in Patients With Calcific Tendinitis of the Shoulder Rotator Cuff

The Effect of Extracorporeal Shock Wave Therapy in Treatment of Calcifyng Tendinitis of the Rotator Cuff of the Shoulder

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