Methods and Results in the Treatment of 2,580 Painful Shoulders, with Special Reference to Calcine Tendinitis and the Frozen Shoulder

Harmon, Paul H.; Surg, Am J

doi:10.1097/00043764-195901000-00043

Cited by 18 publications

(21 citation statements)

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“…[36][37][38] Radiotherapy also yields favourable outcomes. 39,40 Platelet-rich plasma has been used as an adjuvant treatment in rotator cuff surgery. 41 Platelet-rich plasma is a concentrate of autologous human platelets in a small volume of plasma.…”

Section: Discussionmentioning

confidence: 99%

Platelet-Rich Plasma for Calcific Tendinitis of the Shoulder: A Case Report

Seijas

Ares

Álvarez

et al. 2012

J Orthop Surg (Hong Kong)

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We report a 44-year-old woman with calcific tendinitis of the shoulder treated with platelet-rich plasma injection. Prior to this, she had no improvement of the symptoms after 6 weeks of ultrasound treatment, Codman exercises, and anti-inflammatory treatment. Platelet-rich plasma was injected into the subacromial area 3 times at 2-week intervals. She had progressive improvement of pain after 2 weeks, and was asymptomatic at week 6. The patient then underwent the previous protocol of rehabilitation. At the one-year follow-up, the patient was pain-free and had complete resolution of calcific tendinitis. The patient had regained full range of movement and had resumed all her activities.

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Section: Discussionmentioning

confidence: 99%

Platelet-Rich Plasma for Calcific Tendinitis of the Shoulder: A Case Report

Seijas

Ares

Álvarez

et al. 2012

J Orthop Surg (Hong Kong)

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“…Conservative and operative treatments are often judged differently. Non-invasive measures frequently give relief of pain in the acute phase of the disease; needling of the deposits gives favourable short-term results, 23,24 but the good effects last only when the deposit has disintegrated. 6 When spontaneous resolution and non-invasive treatment have failed, operation is most effective when the calcification is removed, but it may take months 21,22 of rehabilitation before the patient is free from pain.…”

Section: Discussionmentioning

confidence: 99%

Shock-wave therapy is effective for chronic calcifying tendinitis of the shoulder

Loew

Daecke

Kusnierczak

et al. 1999

The Journal of Bone and Joint Surgery. British volume

152

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We report a prospective study of the effects of extracorporeal shock-wave therapy in 195 patients with chronic calcifying tendinitis. In part A 80 patients with chronic symptoms were randomly assigned to a control and three subgroups which had different treatment by low-energy and high-energy shock waves. In part B 115 patients had either one or two high-energy sessions. We recorded subjective, functional and radiological findings at six months after treatment.The results showed energy-dependent success, with relief of pain ranging from 5% in our control group up to 58% after two high-energy sessions. The Constant scores and the radiological disintegration of calcification were also dose-dependent.Shockwave therapy should be considered for chronic pain due to calcific tendinitis which is resistant to conservative treatment.

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“…In the acute phase of calcific tendinitis, spontaneous resorption may occur within a period of two to three weeks [2,13]. This course may be typical for calcium deposits that appear translucent or cloudy and are not clearly circumscribed on standard radiographs [14].…”

Section: Discussionmentioning

confidence: 99%

MR arthrography in calcific tendinitis of the shoulder: diagnostic performance and pitfalls

et al. 2006

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The purpose was to assess the diagnostic performance of MR arthrography to diagnose calcific tendinitis of the shoulder and to assess the reasons for diagnostic errors. Standard MR arthrograms of 22 patients with calcific tendinitis and 61 controls were retrospectively analyzed by two independent and blinded radiologists. All cases were consecutively collected from a database. Conventional radiographs were available in all cases serving as gold standard. The supraspinatus was involved in 16, the infraspinatus in four and the subscapularis in two patients. All diagnostic errors were analyzed by two additional readers. Reader 1 correctly detected 12 of the 22 shoulders with and 42 of the 61 shoulders without calcific tendinitis (sensitivity 0.55, specificity 0.66). The corresponding values for reader 2 were 13 of 22 and 40 of 61 cases (sensitivity 0.59, specificity 0.69). Inter-rater agreement (kappa-value) was 0.42. Small size of the calcific deposits and isointensity compared to the surrounding tissue were the most important reasons for false negative results. Normal hypointense areas within the supraspinatus tendon substance and attachment were the main reason for false positive results. In conclusion, MR arthrography is insufficient in the diagnosis of calcific tendinitis. Normal hypointense parts of the rotator cuff may mimic calcific deposits and calcifications may not be detected when they are isointense compared to the rotator cuff. Therefore, MR imaging should not be interpreted without corresponding radiographs.

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Methods and Results in the Treatment of 2,580 Painful Shoulders, with Special Reference to Calcine Tendinitis and the Frozen Shoulder

Cited by 18 publications

References 0 publications

Platelet-Rich Plasma for Calcific Tendinitis of the Shoulder: A Case Report

Platelet-Rich Plasma for Calcific Tendinitis of the Shoulder: A Case Report

Shock-wave therapy is effective for chronic calcifying tendinitis of the shoulder

MR arthrography in calcific tendinitis of the shoulder: diagnostic performance and pitfalls

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