Tendinosis calcarea im Bereich des Schultergelenks

Gärtner, J; Blauth, W.; Helbig, B.

doi:10.1007/978-3-642-83491-2_16

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…The conventional X‐ray examination revealed a sharp dense calcific deposit (stage I according to Gärtner [6], size: approximately 0,5×1,5 mm) at the proximal insertion of the medial collateral ligament in all five cases (Fig. 1).…”

Section: Case Reportsmentioning

confidence: 99%

Symptomatic calcification of the medial collateral ligament of the knee joint: a report about five cases

Muschol

Müller

Petersen

et al. 2005

Knee Surg Sports Traumatol Arthrosc

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Symptomatic calcifications of the rotator cuff tendons is well-known pathologic condition. However, pathologic calcifications may involve other structures of the locomotor system as well. We report about five patients (age 52-66 years) with a painful calcification at the proximal part of the medial collateral ligament of the knee joint. All five patients presented with load-dependent pain pretending meniscus symptoms, but manual valgus stress provoked severe pain at the medial side of the knee. Conventional X-ray examination showed a dense rounded deposit at the proximal part of the medial collateral ligament. Initially all patients were treated conservatively by needling and infiltration with a local anaesthetic. Open resection of the deposit was performed in four patients after unsuccessful conservative treatment. Postoperatively all patients were immediately free of pain. After a mean follow-up of 6 years (patient 1-4) (range=2.5-9.5 years), all patients were still free of pain. Histological evaluation of biopsies obtained during surgery showed nodular deposition of calcium at the collagen fibres, vascular proliferations and inflammative changes. Soft tissue calcifications have to be considered as a rare differential diagnosis in patients presenting with medial knee joint pain. Open resection reduces symptoms immediately. The histological changes seen were comparable to that reported about pathological tendon calcifications of the shoulder. Therefore, both conditions might be of the same aetiology.

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Section: Case Reportsmentioning

confidence: 99%

Symptomatic calcification of the medial collateral ligament of the knee joint: a report about five cases

Muschol

Müller

Petersen

et al. 2005

Knee Surg Sports Traumatol Arthrosc

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“…Einteilung nach Gärtner – In Deutschland wird zumeist die Einteilung nach Gärtner angewendet ( Tab. 1 ), die mit den Stadien von Uhthoff partiell korreliert 27 . Die Verkalkungen haben ein charakteristisches Aussehen im Röntgenbild ( Abb.…”

Section: Diagnostik Und Einteilungunclassified

Kalkschulter – konservative und operative Therapie

Nowotny¹,

Kasten²

2022

Orthopädie und Unfallchirurgie up2date

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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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“…19 In a follow-up radiology study reported by Gartner, it was found that roughly 85% of loose (hazy) calcifications and 33% of crowded calcifications, considered classic markers for calcific tendinitis, disappeared on radiography within 3 years. 20 Ultrasound is a very sensitive test for identifying calcification within the tendons, sometimes allowing for identification of calcification that cannot be viewed in other imaging modalities. Calcification can result in shadows in the imagery, which is easily mistaken for a tear in the tendons of the rotator cuff.…”

Section: Hydroxyapatite Deposition Diseasementioning

confidence: 99%

Role of radiographs in shoulder pathology: a clinical review

Hershkovich¹,

Shapira²,

Sela³

et al. 2014

RMI

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Shoulder pain is a very common complaint, and affects as many as 20% of all people at some point during their lives. Despite the availability of more advanced imaging modalities, X-ray remains the first imaging test to be performed in the investigation of any shoulder pain. However, with their increasing availability, ultrasound and magnetic resonance imaging have in recent years become first-line techniques for the diagnostic imaging of the shoulder. Moreover, ultrasound of the shoulder is increasingly performed in lieu of radiography. Nevertheless, many patients who visit a shoulder specialist for their pain are referred by a family physician or community orthopedist without an X-ray having ever been performed. Shoulder pain can be caused by many conditions, including rotator cuff tears, calcification within the tendons of the rotator cuff, stiff shoulder, subacromial impingement, space-occupying lesions, degenerative changes, and rheumatoid arthritis. This paper reviews various types of shoulder injury and the radiographic symptomatology of each, with the goal of encouraging the use of radiography by demonstrating the importance of this basic tool in the diagnostic process for these injuries.

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Tendinosis calcarea im Bereich des Schultergelenks

Cited by 5 publications

References 9 publications

Symptomatic calcification of the medial collateral ligament of the knee joint: a report about five cases

Symptomatic calcification of the medial collateral ligament of the knee joint: a report about five cases

Kalkschulter – konservative und operative Therapie

Role of radiographs in shoulder pathology: a clinical review

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