• Title/Summary/Keyword: Tendinitis

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Interrelationship research between difference of VAS and lesion area in Sono-Graphic after physical therapy of tendinitis. - Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis - (건염의 물리치료 후 VAS의 변화와 초음파 영상소견상의 면적 변화에 대한 상관성 연구 - 극상근 건염, 외측상과염, 아킬레스건염을 중심으로 -)

  • Kim, Jeong-Seon;Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.1
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    • pp.24-30
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    • 2008
  • Purpose : The patients who have Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis are our targets, so we want to know their opinions in order to take Sono-graphic tests and to study utility value of Sono-graphic. Object and Methods : The case of 30 patients with Tendinitis results, we classified with three categories, Supraspinatus tendinitis, Lateral epicondylitis and Achilles tendinitis. Case by case, before medical treatment, we executed the inspections which are Sound side and Affected side. After 4 weeks of medical treatment, we executed the inspection which is Sono-graphic. Objectively comparing with Sono-graphic, we measured VAS(Visual Analog Scale) before and after physical therapy. Results : We could learn that VAS (Visual Analog Scale) and Sono-graphic wore decreased about changing the lesion area of each disease. For example, Supraspinatus tendinitis is from case 1 and case 2, Lateral epicondylitis is from case 8, case 9 and case 10, Achilles tendinitis is from case 16, case 17 and case 18. Conclusion : About organization of complicated anatomy, we could learn general ideas about Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis. And finally the results which appeared between the decrements of VAS and Sono-graphic are similar.

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Diagnosis and treatment of calcific tendinitis of the shoulder

  • Kim, Min-Su;Kim, In-Woo;Lee, Sanghyeon;Shin, Sang-Jin
    • Clinics in Shoulder and Elbow
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    • v.23 no.4
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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.

A Case report on the Biceps Tendinitis Treatment with Fire needling Therapy (보존적 치료로 호전되는 않은 상완이두근 건염에 대한 화침을 포함한 한방 치료 1례)

  • Lim, Gwang-Mook;Kwon, Ho-Young;Kim, Jeong-Hwan
    • Korean Journal of Acupuncture
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    • v.27 no.3
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    • pp.143-150
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    • 2010
  • Objective : The purpose of this study is to evaluate the effect of the fire needling therapy treatment on the biceps tendinitis. Methods : Fire needling therapy was administered five times to the patient complaining with biceps tendinitis. The improvement of clinical symptom was evaluated by McGill Pain Questionnaire -Short Form(SF-MPQ), Visual Analogue Scale(VAS) and Shoulder Pain, and Disability Index (SPADI). Result : After fire needling therapy to the biceps tendinitis patient five times, the patient's SF-MPQ score, VAS, and SPADI improved from 24 to 11, from 9 to 4, and from 33.6 to 14.8 respectively. Conclusions : Fire needling for biceps tendinitis should be tested in future randomized clinical trials.

Calcific Tendinitis of Peroneus Longus Tendon (A Case Report) (장 비골건에 발생한 석회화 건염(1예 보고))

  • Kim, Hyong-Nyun;Jeon, June-Young;Park, Yong-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.3
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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.

Isolated calcific tendinitis at the posterosuperior labrum: a rare case study

  • Suh, Dong-Hwan;Ji, Jong-Hun;Kim, Chang-Yeon
    • Clinics in Shoulder and Elbow
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    • v.23 no.4
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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.

A Study on the Change of Gait Temporal Parameter and Ankle Joint Moment in Patients with Achilles Tendinitis (아킬레스 건염 환자의 보행 시 고관절, 슬관절 및 족관절 모멘트의 변화에 대한 연구)

  • Yu, Jae-Ho;Lee, Gyu-Chang;Lee, Dong-Yeop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5766-5772
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    • 2011
  • This study was to investigate the change of gait temporal parameter and ankle joint moment between patients with achilles tendinitis and healthy people. Thus, the purpose of this study is to clarify biomechanical change of gait in patients with achilles tendinitis and to find risk factor for prevention of achilles tendinitis. We recruited 20 patients with an achilles tendinitis and 20 healthy people. While subjects shuttled 5 times on 13 m distance with comfortable pace, we examined gait function marker with three-dimensional gait analysis system. All subject outstepped center of forceplate during gait and calculated ankle joint moment using software. Obtained data was analyzed using SPSS 12.0 software. In results, we confirmed that patients with achilles tendinitis showed reduction of extension moment in early initial phase and reduction of flexion moment in mid-stance on hip joint. and reduction of flexion moment in early initial phase and reduction of extension moment in late phase on knee joint. And we identified that patients with achilles tendinitis showed reduction of dorsiflexion moment in early stance phase, maximal plantarflexion moment in mid stance phase, and dorsiflexion moment in late stance phase. Thus, there are biomechanical changes on gait in patients with achilles tendinitis compared to healthy people. And, in clinical settings, they should focus on changes of gait in patients with achilles tendinitis. Further study will be undertaken for the biomechanical changes of patietns with achilles tendinitis.

Arthroscopic Treatment of Calcific Tendinitis of Subscapularis Tendon - A Case Report - (견갑하근 건에 발생한 석회화 건염의 관절경적 치료 - 증례 보고 -)

  • Yi, Woo-Jin;Lee, Kwan-Hee;Jang, Won-Hee
    • Journal of the Korean Arthroscopy Society
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    • v.17 no.1
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    • pp.56-60
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    • 2013
  • Calcific tendinitis of rotator cuff is a common disease which could be the cause of shoulder pain, and frequently occurs in supraspinatus, infraspinatus and teres minor in descending order. Calcific tendinitis of subscapularis is rare and arthroscopic treatment of that has also been rarely reported. So, we report a case of arthroscopic treatment of calcific tendinitis of subscapularis with excellent result.

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A Case of Calcific Tendinitis (견관절 석회화 건염으로 진단된 견비통환자(肩臂痛患者) 치험(治驗) 1례(例) 보고(報告) - 단순 방사선 영상의 변화를 중심으로 -)

  • Lee, Se-Yeon;Lee, Kyung-Min;Seo, Jung-Chul;Lim, Seong-Chul;Jung, Tae-Young;Han, Sang-Won
    • Korean Journal of Acupuncture
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    • v.21 no.4
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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.

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Arthroscopic Treatment of Chronic Calcific Tendinitis of the Shoulder (견관절 만성 석회화 건염의 관절경적 치료)

  • Kim Jin Sub;Yoo Jung Han;Yoo Sun Oh
    • Clinics in Shoulder and Elbow
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    • v.1 no.1
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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.

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Clinical and radiological outcomes of ultrasound-guided barbotage using a spinal needle and subacromial steroid injection for calcific tendinitis of the shoulder

  • Lee, Jun Pyo;Kim, Doo Sup;Han, Jin Young;Baik, Seung Hoon;Kwak, Ji Woong;Kim, Sung Hwa
    • Clinics in Shoulder and Elbow
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    • v.25 no.2
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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.