Ossifying tendinitis of the rotator cuff after arthroscopic excision of calcium deposits: report of two cases and literature review

Merolla, Giovanni; Dave, Arpit C.; Paladini, Paolo; Campi, Fabrizio; Porcellini, Giuseppe

doi:10.1007/s10195-014-0309-8

Cited by 11 publications

(7 citation statements)

References 26 publications

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“…Patients with knee pain secondary to fabella report tenderness and pain in the PLC of the knee and a grating sensation during knee motion. [18,19]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of the fabella and its association with pain in the posterolateral corner of the knee

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Oláh³

et al. 2018

Medicine

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The functions and clinical consequences of the fabella, a sesamoid bone found in the posterolateral aspect of the knee joint, are still a reason of intense debate in the scientific literature. Its incidence was reported to range between 20% and 87% and its presence was usually associated with the persistent pain in the posterolateral region of the knee. The aim of our study was to measure the prevalence, anatomic and clinical features of the fabella within a cross-sectional study, conducted in a Romanian orthopaedic center. Between 2015 and 2017, a consecutive series of 562 patients with knee injuries or persistent knee pain has been examined by radiographs and Magnetic Resonance Imaging and a set of anatomical and clinical parameters have been recorded. Collected data was evaluated with RadiANT DICOM Viewer and statistically analyzed with GraphPad Prism 7. The level of significance was set at P <.05. The incidence of the fabella in our study group was 16.93%, lower than previously reported for Caucasian populations. We found statistically significant differences regarding the possible association of the fabella with pain in the posterolateral corner of the knee ( P = .04) and the 2 dimensions of the bone according to gender ( P = .03 respectively P = .01), but the prevalence was not influenced by gender ( P = .6). The anatomic characteristics could be important in differentiating this sesamoid bone from calcifications or loose bodies located in the knee joint region. Due to the high association with the posterolateral knee pain, the fabella should be recorded during knee examination as a differential diagnosis, before any surgical procedure.

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“…Patients with knee pain secondary to fabella report tenderness and pain in the PLC of the knee and a grating sensation during knee motion. [18,19]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of the fabella and its association with pain in the posterolateral corner of the knee

Pop¹,

Pop

Oláh³

et al. 2018

Medicine

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“…Three studies involving 13 patients reported on HO within the subacromial space, subdeltoid fascia, and supraspinatus tendon after subacromial decompression. 10,39,49 All patients presented with impingement symptoms, with 11 patients experiencing pain resolution after revision arthroscopic decompression. Severe HO after arthroscopic acromioplasty in a 48-year-old man at 22-month follow-up has been reported, with bony bridging of the acromion to the humerus.…”

Section: Ho After Arthroscopy Outside the Hip: Management Outcomesmentioning

confidence: 99%

Heterotopic Ossification After Arthroscopic Procedures: A Scoping Review of the Literature

Zhou

Gee

Hansen

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: Heterotopic ossification (HO) is the formation of bone in soft tissue resultant from inflammatory processes. Lesion formation after arthroscopic procedures is an uncommon but challenging complication. Optimal prophylaxis and management strategies have not been clearly defined. Purpose: To present a scoping review of the pathophysiology, risk factors, diagnostic modalities, prophylaxis recommendations, and current treatment practices concerning HO after arthroscopic management of orthopaedic injuries. Study Design: Scoping review; Level of evidence, 4. Methods: A scoping review via a PubMed search was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. The search strategy was based on the terms “heterotopic ossification” AND “arthroscopy.” The clinical outcomes review included studies on the arthroscopic management of orthopaedic injuries in which the primary subject matter or a secondary outcome was the development of HO. An analysis of the pathophysiology, diagnostic modalities, and management options was reported. Results: A total of 43 studies (33,065 patients) reported on HO after hip arthroscopy, while 21 (83 patients) collectively reported on HO after arthroscopic procedures to the shoulder, elbow, knee, or ankle; however, management techniques were not standardized. Identified risk factors for HO included male sex and mixed impingement pathology, while intraoperative capsular management was not suggested as a contributing factor. Diagnosis of ossification foci was performed using radiography and computed tomography. The rate of HO after hip arthroscopy procedures approached 46% without prophylaxis, and administration of nonsteroidal anti-inflammatory drugs (NSAIDs) decreased occurrence rates to 4% but carries associated risks. External beam radiation has not been exclusively studied for use after arthroscopic procedures. Conclusion: HO is a known complication after arthroscopic management of orthopaedic injuries. NSAID prophylaxis has been demonstrated to be effective after hip arthroscopy procedures. Patients with persistent symptoms and mature lesions may be indicated for surgical excision, although variability is present in patient-reported outcome scores postoperatively.

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“…During surgery to alleviate the pain of refractory calcific tendinitis, calcium removal was performed under a mini-open approach, and there may have been damage to soft tissues and decreased blood flow. Although two cases of minor HO in the insertion of the rotator cuff after calcific tendinitis have been reported in the literature, 13) to the best of our knowledge, there have been no reports of a massive HO as described in the present case. Periarticular HO of the shoulder has been previously reported, and there have been numerous reports on HO after hemi-, total-, or reverse-shoulder arthroplasty.…”

Section: Discussionmentioning

confidence: 48%

Massive Heterotopic Ossification in the Subdeltoid Space after Shoulder Surgery and Symptomatic Improvement from Conservative Treatment: A Case Report

Matsuba

Hata

Ishigaki

et al. 2019

PRM

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Ossifying tendinitis of the rotator cuff after arthroscopic excision of calcium deposits: report of two cases and literature review

Cited by 11 publications

References 26 publications

Prevalence of the fabella and its association with pain in the posterolateral corner of the knee

Prevalence of the fabella and its association with pain in the posterolateral corner of the knee

Heterotopic Ossification After Arthroscopic Procedures: A Scoping Review of the Literature

Massive Heterotopic Ossification in the Subdeltoid Space after Shoulder Surgery and Symptomatic Improvement from Conservative Treatment: A Case Report

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