calcific tendinitis


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calcific tendinitis

Etymology: L, calx, lime, facere, to make, tendo, tendon; Gk, itis, inflammation
a chronic inflammation of a tendon resulting from an accumulation of calcium deposits in the tissue.

calcific tendinitis

Inflammation of a tendon accompanied by focal calcium deposits, especially common in the supraspinatus tendon of shoulder joint.

Clinical findings
Pain, decreased range of motion.

Management
Diet—calcium restriction, magnesium supplementation; extracorporeal shock wave therapy; analgesics/NSAIDs; physical therapy—electroanalgesia, ice therapy, heat; ultrasound (uncertain efficacy), iontophoresis (uncertain efficacy), injections, needling and lavage (75% response rate); corticosteroid injections (useful if shoulder is acutely inflamed); removal of deposits by open or arthroscopic procedures yields a 90% response rate.

cal·cif·ic ten·din·i·tis

(kal-sif'ik ten'din-ī'tis)
Chronic tendinitis with formation of mineral deposits in and around the tendon.

calcific tendinitis

An inflammatory disorder of the rotator cuff tendons involving calcification most commonly close to the insertion of the supraspinatus tendon on the greater tuberosity of the humerus. About half of those with the disorder suffer shoulder pain and limitation of movement at the shoulder. The condition is self-limiting but recovery can be hastened by ultrasound treatment.
References in periodicals archive ?
Acute calcific tendinitis of the longus colli muscle: Spectrum of CT appearances and anatomical correlation.
radiologic imaging must be obtained to distinguish calcific tendinitis from other possible clinical entities.
In this article, we describe a case of acute calcific tendinitis that occurred in the prevertebral muscles--a circumstance that posed a diagnostic dilemma.
Based on the history, physical examination, and radiologic findings, acute prevertebral calcific tendinitis was placed at the top of the differential diagnosis because this condition, although rare, typically manifests in this fashion.
Acute prevertebral calcific tendinitis is rare, as fewer than 40 cases have been reported in the medical literature.