Arthroscopic Removal of Intraosseous and Intratendinous Deposits in Calcifying Tendinitis of the Rotator Cuff

Intraosseous migration of tendinous calcifications: cortical erosions, subcortical migration and extensive intramedullary diffusion, a SIMS series

“…In their series of 50 calcific tendinitis-related osseous lesions, Flemming et al [1] reported 11 cases of calcium penetration into the subcortical bone marrow [at the greater tuberosity of the humerus (n=8), medial femoral condyle (n=1), cervical spine at C2 (n=1), and acetabulum (n=1)]. Furthermore, cases of calcium deposits in erosions of the greater tuberosity of the humerus were reported in articles describing the arthroscopic treatment of calcific tendinitis of the shoulder (5 cases of osseous erosion out of 30 shoulders treated in one paper [27] and 43 out of 126 patients in another [28]). …”

The Effectiveness of High-Energy Extracorporeal Shockwave Therapy Versus Ultrasound-Guided Needling Versus Arthroscopic Surgery in the Management of Chronic Calcific Rotator Cuff Tendinopathy: A Systematic Review

“…1 involved a group treated with high-energy ESWT and a group treated with US-guided needling, 32 and 8 concerned the use of arthroscopic surgery. 11,13,14,28,35,37,38,40 No additional studies were identified by the findsimilar function in the Medline and Embase databases or by checking the references of retrieved publications.…”

Artroscopia no tratamento da tendinite calcária refratária do ombro

“…Foram identificados seis casos, tratados com bloqueios do nervo supraescapular e todos evoluíram com resultados satisfatórios, segundo o índice da UCLA. Nenhum paciente apresentou migração do depósito calcário para localização intraóssea (23) , como também não houve casos de dor na articulação acromioclavicular (10) . Nas últimas 35 artroscopias da série, utilizamos apenas dois portais: o posterior e o lateral.…”