• Clinics in Shoulder and Elbow
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• 제23권4호
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• pp.203-209
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• 2020

Calcific tendinitis is the leading cause of shoulder pain. Among patients with calcific tendinitis, 2.7%-20% are asymptomatic, and 35%-45% of patients whose calcific deposits are inadvertently discovered develop shoulder pain. If symptoms are present, complications such as decreased range of motion of the shoulder joint should be minimized while managing pain. Patients with acute calcific tendinitis respond well to conservative treatment and rarely require surgery. In contrast, patients with chronic calcific tendinitis often do not respond to conservative treatment and do require surgery. Clinical improvement takes time, even after surgical treatment. This review article summarizes the processes related to the diagnosis and treatment of calcific tendinitis with the aim of helping clinicians choose appropriate treatment options for their patients.

• Clinics in Shoulder and Elbow
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• 제23권4호
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• pp.194-197
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• 2020

Calcific tendinitis of the shoulder joint, also known as chemical furuncle of the shoulder, causes intense shoulder pain and usually occurs within 1-2 cm from the insertion of the rotator cuff. We experienced a rare case of calcific tendinitis in the posterosuperior labrum of the shoulder joint in a 39-year-old male patient who presented with severe pain and weakness in the right shoulder. Radiographs and magnetic resonance imaging (MRI) findings showed calcific tendinitis in the posterosuperior labrum of the shoulder joint. A 1-week attempt at conservative treatment failed, so the calcified deposit in the posterosuperior labrum was arthroscopically removed. The patient's symptoms were completely relieved, and satisfactory clinical outcomes were achieved. Postoperative follow-up X-ray and MRI showed no recurrence of calcific tendinitis.

• Clinics in Shoulder and Elbow
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• 제1권1호
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• pp.6-11
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• 1998

Shoulder is a common site for calcific deposit and is frequently asymptomatic. There is a general agreement that calcific tendinitis should be initially treated nonoperatively and excision reserved for cases unresponsive to the conservative measures. There are several reports that arthroscopic excision of symptomatic calcific deposit is proved to be efficient in the calcific tendinitis refractory to nonoperative management. The results of arthroscopic treatment of chronic resistant calcific tendinitis of the shoulder in eleven patients were evaluated. Each patient had shoulder pain for more than one year prior to the arthroscopic surgery. The average age of the patients was 48 years(range 35-70). Arthroscopic calcium removal and subacromial bursectomy was performed in all patients. Arthroscopic acromioplasty was additionally done in four patients. The results turned out to be good in nine patients with full range of motion and complete pain relief. One patient with full motion and occcasional episodes of pain was satisfactory. One patient with persistent pain was unsatisfactory which converted to satisfactory six months later after subacromial injection. So we conclude that the arthroscopic treatment is a reasonable alternative in treatment of the chronic calcific tendinitis resistant to conservative treatment.

• 대한족부족관절학회지
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• 제16권3호
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• pp.193-196
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• 2012

Calcific tendinitis usually occurs in the supraspinatus tendon of the shoulder. Calcific tendinitis of the peroneus longus tendon has not been reported on the Korean journals. Differential diagnosis includes bipartitis os peroneum, os peroneum fracture and peroneal tendinitis. We report a rare case of calcific tendinitis of the peroneus longus tendon which responded well with the conservative treatment.

• Clinics in Shoulder and Elbow
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• 제25권2호
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• pp.140-144
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• 2022

Background: Ultrasound (US)-guided techniques reported for the treatment of calcific tendinitis have mostly demonstrated good results. This study investigates the effect of US-guided barbotage using a spinal needle in patients with calcific tendinitis of the shoulder. Methods: Thirty-six patients with calcific tendinitis of the shoulder treated by US-guided barbotage with a spinal needle and subacromial steroid injection were included in the study. We evaluated clinical outcomes based on American Shoulder and Elbow Surgeons (ASES) score, Constant score, and visual analog scale (VAS) for pain score. Radiological outcomes were assessed by X-ray imaging at each visit. Results: Our results showed that US-guided barbotage and subacromial steroid injection produced good clinical and radiological outcomes in patients with calcific tendinitis of the shoulder. Of the 36 patients, only one required surgical treatment, while the others showed improvement without any complications. Compared to values before the procedure, calcific deposit size and VAS, ASES, and Constant scores showed significant improvement 6 weeks after the procedure. No significant correlation was found between the initial calcific deposit size and clinical outcomes at each time point. Conclusions: In patients with calcific tendinitis of the shoulder, US-guided barbotage using a spinal needle and subacromial steroid injection can yield satisfactory clinical and radiological results.

• 대한관절경학회지
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• 제17권1호
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• pp.56-60
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• 2013

회전근개의 석회화 건염은 견관절의 통증을 유발할 수 있는 비교적 흔한 질환이며, 순서대로 극상근, 극하근, 소형원근에서 많이 발생한다. 견갑하근의 석회화 건염은 비교적 드물게 발생하며 이에 대한 관절경적 치료 증례 역시 매우 드물게 보고되고 있다. 저자들은 견갑하근 건에 발생한 석회화 건염에 대하여 관절경적 치료를 통하여 좋은 결과를 얻었기에 이를 보고하고자 한다.

• Korean Journal of Acupuncture
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• 제21권4호
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• pp.125-132
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• 2004

Objective : The purpose of this study is to report the patient diagnosed as calcific tendinitis located at supraspinatus, who improved by Oriental medical treatment, through analysis of radiograph. Methods : The patient was managed by acupuncture, moxibustion and cupping without medication and physical therapy. We measured the shoulder state by radiograph and evaluated with UCLA shoulder rating scale. Results : After 5 week treatment, the pain of patient and The UCLA functional average score was improved. Also we found that the deposits of calcific tendinitis was almost disappeared in radiograph. Conclusions : The results suggest that acupuncture, moxibustion and cupping can be effective in reducing the pain and the deposits of calcific tendinitis. We think that it need the further study and clinical trial for calcific tendinitis.

• Clinics in Shoulder and Elbow
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• 제6권1호
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• pp.67-71
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• 2003

The shoulder is the most common site in the body for calcific deposition. Calcific tendinitis is one of the common lesions of the painful shoulder. The surpaspinatus tendon is the most frequently affected location, next the infraspinatus and relatively rare the subscapularis tendon. We report upon a case of calcific tendinitis of subscapularis tendon alone, which developed in a 61-year-old female after minor trauma and was treated successfully with surgical excision.

• Clinics in Shoulder and Elbow
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• 제19권4호
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• pp.202-208
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• 2016

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.

• 대한정형외과 초음파학회지
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• 제5권2호
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• pp.94-98
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• 2012

석회화 건염은 건-골 부착부에 침착된 칼슘 수산화 인회석 결정 주위로 염증이 생기는 질환인데 체외충격파치료가 석회화 건염에 대한 비침습적 치료로써 효과적으로 많이 사용되고 있다. 실제 임상에서는 병변 부위에 정확히 체외충격파를 시행하기보다는 주로 촉진과 압통 부위 확인만으로 충격파 시행범위를 정하고 있다. 방사선 투시하에 석회 침착부위에 정확히 체외충격파를 시행하는 것이 임상 결과가 월등히 우수하다는 것은 알려져 있다. 초음파는 간편하고 비싸지 않으며 방사선 피폭이 없으면서 건 질환을 진단하는데 아주 효과적인 진단 기기이지만 체외충격파 치료의 조준에 있어서의 역할은 확립되어 있지 않다. 저자들은 중둔건에 발생한 거대 석회화 건염을 초음파를 이용하여 병변 부위의 위치를 정확히 조준하면서 체외충격파치료를 시행함으로써 석회 침착의 완전 소실을 얻은 증례를 경험하였기에 문헌 고찰과 함께 보고하고자 한다.