Anteroposterior, Grashey, Y-view, and axillary view radiographs of the right shoulder were normal without any calcific tendinopathy
, degenerative changes, or acute fractures.
Effective treatments for usual chronic tendinopathies: Tendinopathies Proposed treatments Tennis elbow --(Orthotic) --(US)--(Corticosteroid injection) --Eccentric training --Sclerosant injection --BTA injections --Injection of blood or PRP --Topical NO therapy Rotator cuff tendinopathy --US (calcific tendinopathy
) --(Corticosteroid injection) --ESWT (calcific tendinopathy
) --Sclerosant injection --Topical NO therapy Jumper's knee --Eccentric training --ESWT --Sclerosing injection --Injection of blood or PRP --Injections of MMP-inhibitor Achilles tendinopathy --(Orthotic) --Eccentric training --ESWT --Sclerosing injections --Topical NO therapy --Injections of MMP-inhibitor
Calcific tendinopathy is a common disorder of the rotator cuff and is probably linked to hypoxia of the tissues.
Patients were included in the study if they had a calcific tendinopathy diagnosed on clinical grounds, no episodes of shoulder instability, no radiographic signs of fracture of the glenoid or the greater or lesser tuberosity, magnetic resonance imaging (MRI) evidence of calcific tendinopathy, a duration of symptoms of at least 5 months, an inadequate response to nonoperative management (including nonsteroidal antiinflammatory drugs, physiotherapy, and rest), and calcific tendinopathy of the rotator cuff found at the time of surgery.
This study shows that in patients with calcific tendinopathy of the rotator cuff, complete removal of the deposit produces better results than partial removal.
Some investigators suggest acromioplasty as only a treatment for calcific tendinopathy, or as an important procedure for deposit removal.