Calcifying Tendinopathy: A Local or a Systemic Condition?

Ejnisman, Benno; Andreoli, Carlos Vicente; Monteiro, Gustavo Cará; Pocchini, Alberto; Cohen, Carina; Tortato, Simone; Franklin, Marcelo Marques Khede; Machado, Arthur Beber; Cohen, Moisés

doi:10.1016/s2255-4971(15)30132-4

Cited by 5 publications

(5 citation statements)

References 15 publications

(13 reference statements)

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“…Our study confirmed, similarly to previous findings, [ 7 ] that nephrolithiasis is significantly more common in patients with calcific RCT. However, to the best of our knowledge, this is the first study to reveal a significant positive association between calcific RCT and cholelithiasis.…”

Section: Discussionsupporting

confidence: 93%

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Association of calcific rotator cuff tendinopathy with nephrolithiasis and/or cholelithiasis: A case–control study

Jomaa,

Aitisha-Tabesh,

Dgheim

et al. 2024

Medicine

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This study aimed to examine the association between calcific rotator cuff tendinopathy (RCT) and nephrolithiasis and/or cholelithiasis. A case–control study was conducted on patients diagnosed with RCT between June 2016 and June 2022. RCT was confirmed by ultrasound, and patients were divided into 2 groups: calcific RCT (case) and non-calcific RCT (control). Data were collected retrospectively from electronic medical records and completed by phone calls, looking for a history of nephrolithiasis and/or cholelithiasis; based on clinical features or incidental findings on abdominal and pelvic imaging. A total of 210 patients with RCT were included. Among the 95 cases of calcific RCT, 43 had a history of lithiasis (45.3%) against 23 (20%) from the non-calcific RCT group (P < .001); 21 patients suffered from nephrolithiasis (22.1%) and 26 had cholelithiasis (27.4%) versus 10 (8.7%) (P = .006) and 16 (13.9%) (P = .015) in the non-calcific RCT group, respectively. Logistic regression showed that the independent predictors of calcific RCT included a history of nephrolithiasis (OR, 4.38; 95% CI: 1.61–11.92, P = .004) and a history of cholelithiasis (OR, 3.83; 95% CI: 1.64–8.94, P = .002). In patients with calcific RCT, the occurrence of lithiasis was significantly associated in the bivariate analysis with higher age, body mass index, fasting blood sugar, and HbA1c (all with P < .05), but only with the presence of another site of calcific tendinopathy than the shoulder (OR, 3.11; 95% CI: 1.12–8.65, P = .03) in the multivariate analysis. Nephrolithiasis and/or cholelithiasis are associated with calcific RCT, and their presence predicts calcific RCT at least 3 times. Further research is required to determine the common risk factors and preventive measures against lithogenesis in patients with calcific RCT, nephrolithiasis, and cholelithiasis.

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Section: Discussionsupporting

confidence: 93%

“…[ 6 ] Unique is the study, carried out by Ejnisman, suggesting an association with nephrolithiasis, the latter being present in 32% of patients suffering from calcific RCT. [ 7 ] However, no association with cholelithiasis has been demonstrated to date.…”

Section: Introductionmentioning

confidence: 99%

Association of calcific rotator cuff tendinopathy with nephrolithiasis and/or cholelithiasis: A case–control study

Jomaa,

Aitisha-Tabesh,

Dgheim

et al. 2024

Medicine

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“…В этом случае могут развиться следующие осложнения: адгезивный капсулит, разрыв ротаторной манжеты, остеолиз большого бугорка плечевой кости, оссифицирующий тендинит [29]. Также есть сообщение об ассоциации кальцифицирующего тендинита с почечнокаменной болезнью у 33% лиц из 63 пациентов по сравнению с 9% в контрольной группе [30].…”

Section: эпидемиологияunclassified

Рain syndrome in the shoulder joint. Clinical significance of bioactive concentrate of small seafish in real clinical practice

Sivordova¹,

Polyakova²,

Papichev³

et al. 2022

Medicinskij sovet

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The limitation of the range of motion of the upper limb in combination with chronic pain syndrome and a decrease in the muscle strength of the arms leads to a significant deterioration in the quality of life of patients, often negatively affects their psychoemotional status, and reduces the ability to work. Arthrosis of the shoulder joint and pathology of the periarticular tissues of the shoulder affect up to 21% of the adult population and up to 33% of people over 60 years of age. Disagreements in the etiology, pathogenesis, terminology, approaches to the diagnosis and treatment of pain syndromes in the shoulder joint area do not contribute to the development of a unified concept of therapy for this pathology. The article provides a review of the literature on the epidemiology and pharmacotherapy of osteoarthritis and soft tissue pathology of the shoulder joint with an analysis of two clinical cases. The peculiarity of the first clinical case is the rapid achievement of therapeutic goals for third grade shoulder osteoarthrosis in an elderly patient with high comorbidity. This allows us to draw conclusions about the predominant role of periarticular tissues inflammation in the generation of severe pain syndrome. The second clinical case presents the dynamics of the development of calcifying tendinitis of the right, later of the left shoulder joint in a woman of working age. The use of a bioactive concentrate of small sea fish (BCSSF) (Alflutop®, Biotechnos) made it possible to quickly reduce the severity of the pain syndrome and return to the usual way of life in the first patient, which made it possible to shorten the use of non-steroidal anti-inflammatory drugs. In the second clinical example, BCSSF promoted the stimulation of regenerative processes in the periarticular tissues of the shoulder joint, the restoration of the function of the dominant limb and the ability to work. Thus, BCSSF may be the drug of choice for patients with osteoarthritis of the shoulder joints with a high risk of cardiovascular and gastrointestinal complications, as well as the drug of choice for a faster recovery of function in case of damage to the periarticular apparatus.

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“…Benno et al in study of 63 patients described association of calcifying tendinitis with renal lithiasis in 33% of individuals in comparison with 9% in control group. 23 Pain being the major clinical symptom Neer described different causes of pain occurring Calcifying tendinitis 24 (Table 1).…”

Section: Clinical Featuresmentioning

confidence: 99%

Calcifying Tendinitis of Shoulder: A Concise Review

Umamahesvaran¹,

Sambandam²,

Mounasamy³

et al. 2018

Journal of Orthopaedics

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Calcifying Tendinitis (CT) shoulder a self limiting disorder characterized by deposition of calcium salts in rotator cuff muscles. The main symptom being pain followed by activity restriction resolving on its own in most cases. Symptomatic patients are initially managed by NSAIDs, Physiotherapy, Corticosteroid injections. ESWT involves acoustic waves causing fragmentation of deposits with pain releif. Ultrasound guided needling barbotage have shown promising results. Arthroscopic excision remains the definitive management for patients associated with complications as cuff tear and for uncomplicated patients. In calcifying tendinitis the initial evaluation, maintenance of function and appropriate choice of treatment modalities determines the prognosis.

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Calcifying Tendinopathy: A Local or a Systemic Condition?

Cited by 5 publications

References 15 publications

Association of calcific rotator cuff tendinopathy with nephrolithiasis and/or cholelithiasis: A case–control study

Association of calcific rotator cuff tendinopathy with nephrolithiasis and/or cholelithiasis: A case–control study

Рain syndrome in the shoulder joint. Clinical significance of bioactive concentrate of small seafish in real clinical practice

Calcifying Tendinitis of Shoulder: A Concise Review

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