Kalzifizierendes Subakromialsyndrom - Klinische und sonographische Ergebnisse unter nicht-operativer Therapie*

Wölk, T.; Wittenberg, R. H.

doi:10.1055/s-2008-1039415

Cited by 26 publications

(5 citation statements)

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“…Only one of the published studies on ESWT corresponds to the criteria of good clinical practice (prospective, randomized, placebocontrolled trials), which is problematic since calcifying tendinitis is known to be a self-healing condition [43] demonstrating partial resorption rates of up to 70% after several years [44,45]. In a prospective study, a significant improvement of shoulder function was reported in 115 patients treated for chronically painful calcifying tendinitis of the rotator cuff for at least 12 months and a previous unsuccessful conservative treatment other than ESWT for at least 6 months [46].…”

Section: Calcifying Tendinitismentioning

confidence: 99%

Extracorporeal shock wave therapy for tendinopathies

Seil¹,

Wilmes²,

Nührenbörger³

2006

Expert Review of Medical Devices

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Shock waves, as applied in urology and gastroenterology, were introduced in the middle of the last decade in Germany to treat different pathologies of the musculoskeletal system, including epicondylitis of the elbow, plantar fasciitis, and calcifying and noncalcifying tendinitis of the rotator cuff. With the noninvasive nature of these waves and their seemingly low complication rate, extracorporeal shock wave therapy (ESWT) seemed a promising alternative to the established conservative and surgical options in the treatment of patients with chronically painful conditions. However, the apparent advantages of the method led to a rapid diffusion and even inflationary use of ESWT; prospective, randomized studies on the mechanisms and effects of shock waves on musculoskeletal tissues were urgently needed to define more accurate indications and optimize therapeutic outcome. This review covers recent international research in the field and presents actual indications and results in therapy of musculoskeletal conditions with ESWT.

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Section: Calcifying Tendinitismentioning

confidence: 99%

Extracorporeal shock wave therapy for tendinopathies

Seil¹,

Wilmes²,

Nührenbörger³

2006

Expert Review of Medical Devices

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“…Typical RCCT symptoms are pain in the deltoid region, with variable functional impairment [ 7 – 9 ] and variable duration of symptoms, ranging from months to years [ 10 – 12 ]. Treatment of these generally self-limiting symptoms is usually conservative, e.g.…”

Section: Introductionmentioning

confidence: 99%

Radiological and clinical predictors of long-term outcome in rotator cuff calcific tendinitis

et al. 2016

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ObjectivesKnowledge on the epidemiology and long-term course of rotator cuff calcific tendinitis (RCCT) is scarce. We assessed demographics, radiological characteristics, and their association with long-term outcomes in a large patient group.MethodsBaseline demographics, radiological characteristics and treatment were recorded in 342 patients. Interobserver agreement of radiological measures was analyzed. Long-term outcome was evaluated with questionnaires (WORC, DASH). The association of baseline characteristics with outcome was assessed.ResultsMean age was 49.0 (SD = 10.0), and 59.5 % were female. The dominant arm was affected in 66.0 %, and 21.3 % had bilateral disease. Calcifications were on average 18.7 mm (SD = 10.1, ICC = 0.84 (p < 0.001)) and located 10.1 mm (SD = 11.8) medially to the acromion (ICC = 0.77 (p < 0.001)). Gärtner type I calcifications were found in 32.1 % (Kappa = 0.47 (p < 0.001)). After 14 years (SD = 7.1) of follow-up, median WORC was 72.5 (range, 3.0-100.0; WORC < 60 in 42 %) and median DASH 17.0 (range, 0.0-82.0). Female gender, dominant arm involvement, bilateral disease, longer duration of symptoms, and multiple calcifications were associated with inferior WORC. DASH results were similar.ConclusionsMany subjects have persisting shoulder complaints years after diagnosis, regardless of treatment. Female gender, dominant arm involvement, bilateral disease, longer duration of symptoms, and multiple calcifications were associated with inferior outcome. Radiological measures had moderate-to-good reliability and no prognostic value.Key Points• Most RCCT studies report on short-term outcome and/or small patients groups.• In this large, long-term observational study, RCCT appeared to not be self-limiting in many subjects.• Negative prognostic factors included female gender, more calcifications, dominant arm affected, and longer duration of symptoms.• Interobserver agreement of general radiological RCCT measures is moderate to good.• More rigorous diagnostics and treatment might be needed in specific RCCT cases.Electronic supplementary materialThe online version of this article (doi:10.1007/s00330-016-4224-7) contains supplementary material, which is available to authorized users.

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“…Die Kalkschulter ist, aufgrund des meist selbstlimitierenden Krankheitsverlaufes, primär für eine konservative Therapie geeignet. In Abhängigkeit der zugrunde liegenden Studie wird eine Erfolgsaussicht bei konservativem Vorgehen um die 70 % beschrieben [36,37]. Diese Therapiestrategie beinhaltet als Ziele ▪ die Reduktion der Entzündung und ▪ den Erhalt bzw.…”

Section: Therapieunclassified

Kalkschulter – konservative und operative Therapie

Nowotny¹,

Kasten²

2023

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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Erkrankungen der Rotatorenmanschette beinhalten ein breites Spektrum, unter denen die Kalkschulter oder Tendinosis calcarea (TC) eine häufige Pathologie der Schulter darstellt und eine herausragende Rolle einnimmt. Das Erscheinungsbild kann dabei enorm variieren. Die Kalkschulter kann als Zufallsbefund bei der radiologischen Diagnostik auffallen, jedoch auch bis hin zu einem der stärksten Schulterschmerzen avancieren. Nachfolgend wird ein Überblick für das diagnostische und therapeutische Vorgehen gegeben.

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Kalzifizierendes Subakromialsyndrom - Klinische und sonographische Ergebnisse unter nicht-operativer Therapie*

Cited by 26 publications

References 1 publication

Extracorporeal shock wave therapy for tendinopathies

Extracorporeal shock wave therapy for tendinopathies

Radiological and clinical predictors of long-term outcome in rotator cuff calcific tendinitis

Kalkschulter – konservative und operative Therapie

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