Diagnosis and treatment of calcific tendinitis of the shoulder

Kim, Minsu; Kim, In-Woo; Lee, Sanghyeon; Shin, Sang-Jin

doi:10.5397/cise.2020.00318

Cited by 45 publications

(32 citation statements)

References 19 publications

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“…In our study, the mean size of the calcific deposit decreased significantly after US-GND, and 67.3% of patients had PVAS score ≤2, 59.3% had ASES score≥80, and 73.5% were satisfied to very satisfied. Thus, the success rate of US-GND in our study is comparable to that of previous studies, which was approximately 70% [ 6 , 8 , 10 , 11 ]. Repeated US-GND was performed in 14.3% patients in our study, which was slightly lower than that reported in previous studies (18%–45%) [ 10 , 23 ].…”

Section: Discussionsupporting

confidence: 89%

Ultrasound-guided needle decompression and steroid injection for calcific tendinitis of the shoulder: risk factors for repeat procedures and outcome analysis

Kim

Lee

Park

et al. 2021

Clin Shoulder Elbow

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Background: Although ultrasound-guided needle decompression (US-GND) can treat calcific tendinitis of the shoulder effectively, repeat procedures might be required for unresolved symptoms. We evaluated the overall clinical outcomes of US-GND with subacromial steroid injection and the final results and factors predisposing toward repeat procedures.Methods: Ninety-eight patients who underwent US-GND for calcific tendinitis of the supraspinatus/infraspinatus were analyzed between March 2017 and December 2018. The clinical outcomes (pain visual analog scale, functional visual analog scale [FVAS], and American Shoulder and Elbow Surgeons [ASES] score) and final subjective satisfaction were compared between groups A (single US-GND) and B (repeat US-GND). The factors predisposing toward repeated US-GNDs were analyzed.Results: We found that 59.3% (58/98) of patient ASES scores were ≥80, and 73.5% of patients (72/98) were satisfied with the outcome. Group B (n=14) demonstrated a significantly higher rate of dominant-arm involvement compared to group A (78.6% vs. 48.8%, P=0.046). However, initial calcification size, shape, number, density, subscapularis involvement, lavage, and procedure time did not differ significantly between the groups. Group B showed poorer final FVAS (7 [interquartile range, 6–8] vs. 8 [interquartile range, 7–9], p=0.036) and subjective satisfaction compared to group A (satisfied: 5 [35.7%] vs. 67 [79.8%], p<0.001].Conclusions: US-GND with subacromial steroid injection is a viable treatment option for calcific tendinitis of the shoulder. Dominant-arm involvement was the only independent factor for repeated US-GND. Final outcome of repeated US-GND for unimproved patients was promising; however, these outcomes were poor compared to those of the patients who improved after the first procedure.

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Section: Discussionsupporting

confidence: 89%

Ultrasound-guided needle decompression and steroid injection for calcific tendinitis of the shoulder: risk factors for repeat procedures and outcome analysis

Kim

Lee

Park

et al. 2021

Clin Shoulder Elbow

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“…In our case, the injection technique was found to be correct, so other causes were considered, and following ultrasonography we found a linear calcification near the footprint of the subscapularis tendon, which immediately led to the probable diagnosis of the COVID-19 vaccination had precipitating the patient's formerly asymptomatic calcific tendinitis to symptomatic calcific tendinitis. The main symptom of this patient was also compatible with the diagnosis of calcific tendinitis because the symptoms were a sudden pain and limited range of motion of left shoulder after a COVID-19 vaccine injection [ 16 ]. This case is quite similar to an earlier case report of combined subacromial-subdeltoid bursitis and supraspinatus tear after a COVID-19 vaccination, which was determined to have precipitated an existing but asymptomatic rotator cuff tear to a symptomatic rotator cuff tear [ 17 ].…”

Section: Discussionmentioning

confidence: 95%

“…Calcific tendinitis can be diagnosed by patient history, physical examination, and/or imaging studies. Not all patients with calcific tendinitis have the clinical symptom of shoulder pain, and incidences of asymptomatic calcific tendinitis have been reported from 2.7% to 20% [ 16 ]. In our case, the injection technique was found to be correct, so other causes were considered, and following ultrasonography we found a linear calcification near the footprint of the subscapularis tendon, which immediately led to the probable diagnosis of the COVID-19 vaccination had precipitating the patient's formerly asymptomatic calcific tendinitis to symptomatic calcific tendinitis.…”

Section: Discussionmentioning

confidence: 99%

A COVID-19 vaccination precipitating symptomatic calcific tendinitis: A case report

Klabklay

Boonsri

Kanyakool

et al. 2022

Annals of Medicine &Amp; Surgery

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Introduction Shoulder pathology may be symptomatic or asymptomatic depending on the patient. We report the first case of a COVID-19 vaccination administration precipitating symptomatic calcific tendinitis from pre-existing, asymptomatic calcific tendinitis. Case presentation A 50-year-old Thai male began experiencing left shoulder pain about 3 hours following a COVID-19 vaccination. He waited at home for the pain to improve, and when it did not improve in about 3 days he decided to see a doctor at the orthopedics clinic. He was sent for ultrasonography of his shoulder, which revealed calcific tendinitis of the subscapularis tendon. Discussion A SIRVA is normally considered if post-vaccination shoulder pain has not improved within a few days following a vaccination in a patient without shoulder pain prior to the vaccination. In our patient, a COVID-19 vaccination precipitated asymptomatic calcific tendinitis to symptomatic calcific tendinitis. Conclusion Previously asymptomatic shoulder pathologies can be precipitated to symptomatic by a COVID-19 vaccination.

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“…However, rotator cuff repair using side-to-side repair and suture anchors can facilitate rehabilitation with satisfactory clinical outcomes. 19 …”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Excision of Infraspinatus Calcific Tendinitis With Double-Row Margin Convergence Repair

Morsy

Galal

Ayman

et al. 2021

Arthroscopy Techniques

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Calcific rotator cuff tendinitis is a common cause of shoulder pain. It is thought to be an active cell-mediated process although the exact pathophysiology remains unclear. It commonly affects the supraspinatus tendon. The condition is generally self-limiting and can be managed with appropriate nonoperative treatment; however, some cases may need surgical excision. Complete removal of the calcific deposits may result in large significant defects. Infraspinatus calcific deposits were seldomly described. This report illustrates a double-row suture bridge technique with margin convergence of a large cuff defect after excision of calcific deposits within the infraspinatus tendon.

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Diagnosis and treatment of calcific tendinitis of the shoulder

Cited by 45 publications

References 19 publications

Ultrasound-guided needle decompression and steroid injection for calcific tendinitis of the shoulder: risk factors for repeat procedures and outcome analysis

Ultrasound-guided needle decompression and steroid injection for calcific tendinitis of the shoulder: risk factors for repeat procedures and outcome analysis

A COVID-19 vaccination precipitating symptomatic calcific tendinitis: A case report

Arthroscopic Excision of Infraspinatus Calcific Tendinitis With Double-Row Margin Convergence Repair

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