Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
권호 표지
DOI QR코드

DOI QR Code

Clinical Outcomes of Arthroscopic Treatment of Calcific Tendinitis of the Shoulder

  • Kang, Jong-Won (Department of Orthopedic Surgery, Sun General Hospital) ;
  • Shin, Sang-Yeop (Department of Orthopedic Surgery, Sun General Hospital) ;
  • Song, In-Soo (Department of Orthopedic Surgery, Sun General Hospital) ;
  • Ahn, Chi-Hoon (Department of Orthopedic Surgery, Sun General Hospital)
  • Received : 2016.06.08
  • Accepted : 2016.08.01
  • Published : 2016.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Our study aimed to make a comparative analysis of clinical outcomes of arthroscopic decompression for rotator cuff calcific tendinitis by location of calcific deposits and by its size. Methods: We enrolled a total of 38 patients, comprising 39 affected shoulders, who underwent arthroscopic decompression for calcific tendinitis. As our clinical scores, we evaluated the UCLA, the ASES, and the VAS scores and analyzed them by calcific location, by calcific deposit size, by the presence or absence of calcific remnants, and by whether concomitant cuff repair was performed. Results: The clinical scores of those whose calcific deposit had an area greater than $77.0mm^2$ and of those whose calcific deposit had an area smaller than $77.0mm^2$ did not significantly differ (p=0.21 in ASES; p=0.19 in UCLA; p=0.17 in VAS). Nor did the clinical scores significantly differ with respect to the location of calcification (p=0.23). Further, the clinical scores did not significantly differ between those who had calcific remnants and those who did not and between those who received additional cuff repair and those who did not. Conclusions: We found that the clinical outcomes after arthroscopic decompression of calcific tendinitis were not significantly associated with the cuff tendon in which the calcium deposits are found; the location of the calcium deposits in the supraspinatus tendon (if found in this tendon); the size of calcific deposits; the presence of calcific remnants; and concomitant cuff repairs.

Keywords

References

  1. Welfling J, Kahn MF, Desroy M, Paolaggi JB, de Seze S. Calcifications of the shoulder. II. The disease of multiple tendinous calcifications. Rev Rhum Mal Osteoartic. 1965;32(6):325-34.
  2. Bosworth BM. Calcium deposits in the shoulder and subacromial bursitis: a survey of 12, 122 shoulder. JAMA 1941;116:2477-82. https://doi.org/10.1001/jama.1941.02820220019004
  3. DePalma AF, Kruper JS. Long-term study of shoulder joints afflicted with and treated for calcific tendinitis. Clin Orthop. 1961;20:61-72.
  4. Rhee YG, Kim YH, Park MS. Arthroscopic treatment in calcific tendinitis of the shoulder. J Korean Shoulder Elbow Soc. 2000;3(2):68-74.
  5. Arrigoni P, Brady PC, Burkhart SS. Calcific tendonitis of the subscapularis tendon causing subcoracoid stenosis and coracoid impingement. Arthroscopy. 2006;22(10):1139.e1-3. https://doi.org/10.1016/j.arthro.2005.06.028
  6. Seil R, Litzenburger H, Kohn D, Rupp S. Arthroscopic treatment of chronically painful calcifying tendinitis of the supraspinatus tendon. Arthroscopy. 2006;22(5):521-7. https://doi.org/10.1016/j.arthro.2006.01.012
  7. Jerosch J, Strauss JM, Schmiel S. Arthroscopic treatment of calcific tendinitis of the shoulder. J Shoulder Elbow Surg. 1998;7(1):30-7. https://doi.org/10.1016/S1058-2746(98)90180-X
  8. Ellman H, Biglianini LU, Flatow E, et al. Arthroscopic treatment of calcific tendinitis. The American experience. Paper presented at: 5th International Conference on Shoulder Surgery; 1992 Jul; Paris, France: p.1-15.
  9. Ark JW, Flock TJ, Flatow EL, Bigliani LU. Arthroscopic treatment of calcific tendinitis of the shoulder. Arthroscopy. 1992;8(2):183-8. https://doi.org/10.1016/0749-8063(92)90034-9
  10. De Seze S, Welfling J. Tendinities calcifications. Rhumatolocie. 1970;22:5-14.
  11. Painter CF. Subdeltoid bursitis. Boston Med Surg J. 1907;156: 345-9. https://doi.org/10.1056/NEJM190703211561201
  12. Patte D, Goutallier D. Periarthritis of the shoulder. Calcifications. Rev Chir Orthop Reparatrice Appar Mot. 1988;74(4):277-8.
  13. Uhthoff HK. Anatomopathology of calcifying tendinitis of the cuff. In: Gazielly DF, Gleyze P, Thomas T, eds. The cuff. Paris: Elsevier; 1997. 144-7.
  14. Uhthoff HK, Loehr JW. Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management. J Am Acad Orthop Surg. 1997;5(4):183-91. https://doi.org/10.5435/00124635-199707000-00001
  15. Lam F, Bhatia D, van Rooyen K, de Beer JF. Modern management of calcifying tendonitis of the shoulder. Curr Orthop. 2006;20(6):446-52. https://doi.org/10.1016/j.cuor.2006.09.005
  16. Krasny C, Enenkel M, Aigner N, Wlk M, Landsiedl F. Ultrasound- guided needling combined with shock-wave therapy for the treatment of calcifying tendonitis of the shoulder. J Bone Joint Surg Br. 2005;87(4):501-7.
  17. Rochwerger A, Franceschi JP, Viton JM, Roux H, Mattei JP. Surgical management of calcific tendinitis of the shoulder: an analysis of 26 cases. Clin Rheumatol. 1999;18(4):313-6. https://doi.org/10.1007/s100670050108
  18. Postel JM, Goutallier D, Lambotte JC, Duparc F. Treatment ofchronic calcifying or post calcifying shoulder tendinitis by acromioplasty without excision of the calcification. In: Gazielly DF, Gleyze P, Thomas T, eds. The cuff. Paris: Elsevier; 1997. 159-63.
  19. Mole D, Kempf JF, Gleyze P, Rio B, Bonnomet F, Walch G. Results of endoscopic treatment of non-broken tendinopathies of the rotator cuff. 2. Calcifications of the rotator cuff. Rev Chir Orthop Reparatrice Appar Mot. 1993;79(7):532-41.
  20. Kempf JF, Bonnomet F, Nerisson D, Gastaud F, Lacaze F, Geraud H. Arthroscopic isolated excision of rotator cuff calcium deposits. In: Gazielly DF, Gleyze P, Thomas T, eds. The cuff. Paris: Elsevier; 1997. 164-7.
  21. Jerosch J, Strauss JM, Schmiel S. Arthroskopische therapie der tendinitis calcarea. Wie wichtig ist die Kalkentfernung? Arthroskopie. 1996;9:241-5.
  22. Tillander BM, Norlin RO. Change of calcifications after arthroscopic subacromial decompression. J Shoulder Elbow Surg. 1998;7(3):213-7. https://doi.org/10.1016/S1058-2746(98)90047-7
  23. Loew M, Sabo D, Wehrle M, Mau H. Relationship between calcifying tendinitis and subacromial impingement: a prospective radiography and magnetic resonance imaging study. J Shoulder Elbow Surg. 1996;5(4):314-9. https://doi.org/10.1016/S1058-2746(96)80059-0
  24. Resch H, Povacz P, Seykora P. Excision of calcium deposit and acromioplasty? In: Gazielly DF, Gleyze P, Thomas T, eds. The cuff. Paris: Elsevier; 1997. 169-71.

Cited by

  1. The Viability of Arthroscopic Removal as a Treatment for Calcific Deposit vol.19, pp.4, 2016, https://doi.org/10.5397/cise.2016.19.4.190