Calcifying Tendinitis of Shoulder: A Concise Review

Umamahesvaran, Balaji; Sambandam, Senthil; Mounasamy, Varatharaj; Gokulakrishnan, Ponnusami Pillai; Ashraf, Munis

doi:10.1016/j.jor.2018.05.040

Cited by 30 publications

(23 citation statements)

References 38 publications

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“…In biological environments, unexpected calcification such as ectopic calcification (Wang et al, 2020) occurs not only in bones and teeth, but also in soft tissues such as tendons (Grases et al, 2015;Umamahesvaran et al, 2018) and blood vessels (Chen et al, 2015;Barret et al, 2016). Similar to bone, the main component of these calcified materials is apatite, which can be eluted by demineralization using the presented method.…”

Section: Discussionmentioning

confidence: 99%

Demineralization characteristics of cortical bone under voltage application in phosphate-buffered saline

Osanai

Fujisaki

OTA

et al. 2022

JBSE

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Bone tissue is a composite material consisting of hydroxyapatite and collagen. It is known that bone tissue becomes brittle with age not only because of decreased bone density but also because of excessive apatite deposition in the tissue. Demineralization provides a means for changing the mechanical properties of bone. Although demineralization decreases the elastic modulus of bone tissue, it also increases the flexible deformation compliance of the tissue. Previous studies have shown that localized demineralization around the areas of stress concentration in cortical bone specimens can improve impact fracture toughness despite reducing the stiffness. Demineralization is usually performed via chemical reactions in solution. This method is not suitable for limited demineralization at specific areas because of the infiltration and outflow of the solution. In this study, we focus on reactions induced by electric stimulation and investigate the possibility of demineralization by applying voltage. X-ray diffraction was used to verify the demineralization progression. The absence of apatite peaks in the X-ray diffraction pattern of the bone specimen after voltage application shows that demineralization has occurred after this treatment. To investigate the relationship between the electrode shape and the demineralized area, the hardness distribution on the surface of specimen was measured via multiple-point micro-indentation tests. The impact fracture characteristics in the limited areas demineralized by voltage application were measured through Charpy loading tests. As a result, it was found that the demineralization was accelerated at the contact area of the electrode to specimen surface during the voltage application. And it was suggested that the limited demineralization may improve the fracture strength of the bone tissue.

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Section: Discussionmentioning

confidence: 99%

Demineralization characteristics of cortical bone under voltage application in phosphate-buffered saline

Osanai

Fujisaki

OTA

et al. 2022

JBSE

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“…Распространенность кальцифицирующего тендинита, подтвержденная документально, по данным разных авторов, колеблется от 2,7 до 22%, чаще встречается у женщин, двустороннее поражение составляет до 10-20% случаев, развивается в возрасте 30-50 лет. Кальцифицирующий тендинит обычно поражает надостную мышцу (80%), реже -подостную мышцу, малую круглую и подлопаточную [25]. Предполагается, что развитие кальцифицирующего тендинита протекает в несколько стадий [26]: I. Предварительная стадия.…”

Section: эпидемиологияunclassified

Рain syndrome in the shoulder joint. Clinical significance of bioactive concentrate of small seafish in real clinical practice

Sivordova¹,

Polyakova²,

Papichev³

et al. 2022

Medicinskij sovet

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The limitation of the range of motion of the upper limb in combination with chronic pain syndrome and a decrease in the muscle strength of the arms leads to a significant deterioration in the quality of life of patients, often negatively affects their psychoemotional status, and reduces the ability to work. Arthrosis of the shoulder joint and pathology of the periarticular tissues of the shoulder affect up to 21% of the adult population and up to 33% of people over 60 years of age. Disagreements in the etiology, pathogenesis, terminology, approaches to the diagnosis and treatment of pain syndromes in the shoulder joint area do not contribute to the development of a unified concept of therapy for this pathology. The article provides a review of the literature on the epidemiology and pharmacotherapy of osteoarthritis and soft tissue pathology of the shoulder joint with an analysis of two clinical cases. The peculiarity of the first clinical case is the rapid achievement of therapeutic goals for third grade shoulder osteoarthrosis in an elderly patient with high comorbidity. This allows us to draw conclusions about the predominant role of periarticular tissues inflammation in the generation of severe pain syndrome. The second clinical case presents the dynamics of the development of calcifying tendinitis of the right, later of the left shoulder joint in a woman of working age. The use of a bioactive concentrate of small sea fish (BCSSF) (Alflutop®, Biotechnos) made it possible to quickly reduce the severity of the pain syndrome and return to the usual way of life in the first patient, which made it possible to shorten the use of non-steroidal anti-inflammatory drugs. In the second clinical example, BCSSF promoted the stimulation of regenerative processes in the periarticular tissues of the shoulder joint, the restoration of the function of the dominant limb and the ability to work. Thus, BCSSF may be the drug of choice for patients with osteoarthritis of the shoulder joints with a high risk of cardiovascular and gastrointestinal complications, as well as the drug of choice for a faster recovery of function in case of damage to the periarticular apparatus.

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“…All patients were prescribed passive range of motion exercises and rehabilitation two weeks after surgery. For calci ed tendinitis of the rotator cuff accompanying stiff shoulder, passive range of motion exercises and rehabilitation were started the rst day after the operation [4,8,35].…”

Section: Postoperative Management and Assessmentmentioning

confidence: 99%

The Clinical Results of Arthroscopic Treatment for Calcified Tendinitis of Rotator Cuff—— A Retrospective Study With No Less Than 2 Years Follow Up

Li¹,

Yan²,

Qing³

et al. 2020

Preprint

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Background The treatment of CT remains controversial. The aim of this study was to retrospectively evaluate the pain and functional outcomes of arthroscopic excision with or without rotator cuff repair for treating calcified tendinitis of the rotator cuff.Methods Between Jan 2015 and Apr 2018, a total of 38 patients with 39 shoulders CT of the rotator cuff underwent arthroscopic surgery and were followed for at least two years. The clinical outcomes were evaluated at intervals of 2, 4, and 8 weeks and 3, 6，12 and 24 months after the surgery and annually thereafter. The efficacy measures included the visual analogue scale (VAS) score, University of California at Los Angeles (UCLA) score, American Shoulder and Elbow Surgeons (ASES) score and radiographic outcomes.Results All patients underwent follow-ups, and the mean follow-up time was 45.38 months. The VAS score significantly decreased from 73.59±11.35 mm before the surgery to 26.41±10.63 mm at 6 months after surgery and continued to decrease to 5.64±5.02 mm at the end of the follow-up period (all p < 0.01). This result was supported by a significant increase in both the UCLA score and ASES score (all p<0.01) after surgery. Plain radiographs after surgery revealed complete calcification removal in all patients. No recurrence was observed during the follow-up period.Conclusions Arthroscopic excision can relieve pain and improve shoulder joint function in patients with CT. Additional randomized controlled studies need to be conducted to confirm our findings.

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Calcifying Tendinitis of Shoulder: A Concise Review

Cited by 30 publications

References 38 publications

Demineralization characteristics of cortical bone under voltage application in phosphate-buffered saline

Demineralization characteristics of cortical bone under voltage application in phosphate-buffered saline

Рain syndrome in the shoulder joint. Clinical significance of bioactive concentrate of small seafish in real clinical practice

The Clinical Results of Arthroscopic Treatment for Calcified Tendinitis of Rotator Cuff—— A Retrospective Study With No Less Than 2 Years Follow Up

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