Prevalence of calcific deposits within the rotator cuff tendons in adults with and without subacromial pain syndrome: clinical and radiologic analysis of 1219 patients

Louwerens, Jan K. G.; Sierevelt, Inger N.; Hove, Ruud P. van; Bekerom, Michel P.J. van den; Noort, Arthur van

doi:10.1016/j.jse.2015.02.024

Cited by 105 publications

(88 citation statements)

References 11 publications

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“…These data are consistent with findings obtained by Louwerens et al for both asymptomatic and symptomatic groups, which indicated that only 10% of all calcification deposits were found in the infraspinatus tendon, and no cases of calcific tendonitis in the teres minor region have been reported in the PubMed. 4 In many cases the painfulness of calcific tendinitis is not produced by inherent aspects of the condition; instead, in most situations, painfulness is caused by tendon tears and bursal lesions correlated with calcific tendinitis. 4,12 In most reported case studies, painfulness may also occur due to bone or cortical erosion.…”

Section: Discussionmentioning

confidence: 99%

“…Calcific tendinitis at the infraspinatus is rare (around 8.4% in all rotator cuff calcific tendinitis), and no separate case report on calcific tendinitis has been reported in the teres minor region in the preceding several years, therefore, the rarity of reporting this case was considered. 4 We assume that additional case reports can help to further improve our understanding regarding infraspinatus and teres minor tendon calcification.…”

Section: Methodsmentioning

confidence: 98%

“…9 The occurrence rate of calcific tendinitis at the infraspinatus among all cases of calcific tendinitis around the rotator cuff is 2.6%. 4 Although many case reports and meta-analyses regarding this type of disease have been published, various characteristics such as the cause of disease and effective ratio among the population for this disease have not been clearly established. 1,[6][7][8][10][11][12] For example, with respect to the prevalence between two shoulders in asymptomatic groups, certain article suggest that both shoulders are equally affected, 1 whereas other articles have reported that calcification exhibits a predilection for the right side.…”

Section: Introductionmentioning

confidence: 99%

“…10,13 No correlation between the dominant arm and the affected shoulder has been found; the disorder occurs randomly on the both of the arms. 1,4,10,13,14 We report a case involving infraspinatus and teres minor tendon calcification and review the relevant literature.…”

Section: Introductionmentioning

confidence: 99%

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Infraspinatus and Teres Minor Tendon Calcification with Severe Pain

2017

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Calcific tendinitis is an extremely common shoulder disorder which affects 2.7 to 10.3% of the adult population. However, clear details regarding the formation of calcific tendinitis have only been found recently, and its pathology still under debate. In this report, we present a case of calcific tendinitis affect both the infraspinatus and the teres minor tendon with both X-ray and ultrasound findings. Calcific tendinitis at the infraspinatus is rare (around 8.4% in all rotator cuff calcific tendinitis), and no separate case report on calcific tendinitis has been reported in the teres minor region in the preceding several years, therefore, the rarity of reporting this case was considered.4 We assume that additional case reports can help to further improve our understanding regarding infraspinatus and teres minor tendon calcification.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Infraspinatus and Teres Minor Tendon Calcification with Severe Pain

2017

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“…In a large study on 1219 adults, the prevalence of rotator cuff calcific deposits alone has been appreciated as up to 7.8% in asymptomatic persons and 42.5% in patients with shoulder pain [6]. In addition to pain, limited shoulder motion and function, tears of rotator cuff structures, and/or cortical bone erosions adjacent to calcifications, all can be manifestations of uncontrolled inflammation triggered by calcium deposits.…”

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confidence: 99%

Enthesis as a target organ in rheumatic diseases: an expanding frontier

Slobodin

Rosner

2017

Clin Rheumatol

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The effectiveness of extracorporeal shock wave therapy for rotator cuff calcific tendinopathy. A systematic review with meta‐analysis

Brindisino,

Marruganti,

Lorusso

et al. 2024

Physiotherapy Res Intl

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PurposeTo investigate if Extracorporeal Shock Wave therapy (ESWT) is effective in reducing pain and disability, in improving function, quality of life and complete resorption rate of calcification in patients with Rotator Cuff Calcific Tendinopathy. To investigate which modality of ESWT brings the greatest clinical improvements between High (HE)‐SWT and Low Energy (LE)‐SWT and between Focal (F)‐SWT and Radial (R)‐SWT.MethodsMEDLINE, EMBASE, CENTRAL Database, and PEDro databases until February 2024 were searched. Study registers were further investigated. The Risk of Bias (RoB) was assessed with the Revised Cochrane RoB Tool (RoB 2). The certainty of evidence was rated with GRADE.ResultsTwenty‐one randomized controlled trials were included. None was judged as overall low RoB. Comparing ESWT and Ultrasound Guided Needling Procedures (USGNP), the pooled results reported a significant difference favoring USGNP in pain at <24 and <48 weeks (MD = 1.17, p = 0.004, I2 = 59%; MD = 1.31, p = 0.004, I2 = 42%, respectively). Comparing ESWT and sham‐ESWT, the pooled results reported a clinically significant difference favoring ESWT in pain and function at 24 weeks (MD = −5.72, p < 0.00001, I2 = 0%; Standardized Mean Difference = 2.94, p = 0.02 I2 = 98%, respectively). Comparing HE‐SWT and LE‐SWT, HE‐SWT was statistically and clinically superior in pain and function at <24 weeks (MD = −1.83, p = 0.03, I2 = 87%; MD = 14.60, p = 0.002, I2 = 77%, respectively) and showed a significantly higher complete resorption rate of calcification at 12 weeks (Risk Ratio = 2.53, p = 0.001, I2 = 0%). F‐SWT and R‐SWT appear equally effective in reducing pain, improving disability and resorption rate. The certainty of evidence was rated as very low through GRADE approach.ConclusionUSGNP was statistically superior to ESWT in pain reduction at <24 and <48 weeks. ESWT was clinically better to sham‐ESWT in pain reduction and function improvement at 24 weeks. HE‐SWT was clinically more effective than LE‐SWT in reducing pain, improving function at <24 weeks, and resolving calcific deposits at 12 weeks, while no differences between F‐SWT and R‐SWT were reported.

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Prevalence of calcific deposits within the rotator cuff tendons in adults with and without subacromial pain syndrome: clinical and radiologic analysis of 1219 patients

Cited by 105 publications

References 11 publications

Infraspinatus and Teres Minor Tendon Calcification with Severe Pain

Infraspinatus and Teres Minor Tendon Calcification with Severe Pain

Enthesis as a target organ in rheumatic diseases: an expanding frontier

The effectiveness of extracorporeal shock wave therapy for rotator cuff calcific tendinopathy. A systematic review with meta‐analysis

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