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Calcific Tendonitis, Sports Medicine

Shawn Skarpnes, MD, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • A condition that causes the formation of calcium deposition within a tendon

  • Pain and dysfunction is related to impingement, inflammation, and increased intratendinous pressure from th...

DIAGNOSIS

HISTORY

  • Localized pain is the cardinal symptom.

  • Clinical presentation varies depending on stage.

  • Typically gradual pain unassociated with trauma

  • Severe acute pain often presents during the resor...

TREATMENT

GENERAL MEASURES

  • Often a self-limited benign course

  • First-line therapy is conservative and focused on symptom relief.

  • Initial treatment options include oral anti-inflammatories, analgesics, glu...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Conservative management follow-up:

    • Follow-up at 4 mo or after completion of physical therapy. Evaluate mobility and strength; repeat imaging by sonography or radio...

REFERENCES

1
Noël E. Treatment of calcific tendinitis and adhesive capsulitis of the shoulder. Rev Rhum Engl Ed.  1997;64(11):619–628.
2
Bosworth BM. Calcium deposits in the shoulder and subacromial...

ADDITIONAL READING

  • Lam F, Bhatia D, van Rooyen K, et al. Modern management of calcifying tendonitis of the shoulder. Current Orthopaedics.  2006;20(6):446–452.

  • Sansone VC, Meroni R, Boria P, et al...

CLINICAL PEARLS

  • Calcium deposition from CT usually disappears spontaneously with time.

  • CT is not precipitated by strenuous manual labor or athletic activities and occurs equally among sedentary individ...

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