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DE Carli A, Pulcinelli F, Rose GD, et al. Calcific tendinitis of the shoulder. Joints. 2014;2(3):130-6doi: 10.11138/jts/2014.2.3.130.
DE Carli, A., Pulcinelli, F., Rose, G. D., Pitino, D., & Ferretti, A. (2014). Calcific tendinitis of the shoulder. Joints, 2(3), 130-6. https://doi.org/10.11138/jts/2014.2.3.130
DE Carli, Angelo, et al. "Calcific tendinitis of the shoulder." Joints vol. 2,3 (2014): 130-6. doi: https://doi.org/10.11138/jts/2014.2.3.130
DE Carli A, Pulcinelli F, Rose GD, Pitino D, Ferretti A. Calcific tendinitis of the shoulder. Joints. 2014 Aug 01;2(3):130-6. doi: 10.11138/jts/2014.2.3.130. eCollection 2014. PMID: 25606556; PMCID: PMC4295680.
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Joints. 2014 Aug 01;2(3):130-6. doi: 10.11138/jts/2014.2.3.130. eCollection 2014.

Calcific tendinitis of the shoulder.

Joints

Angelo DE Carli, Ferdinando Pulcinelli, Giacomo Delle Rose, Dario Pitino, Andrea Ferretti

Affiliations

  1. II Faculty of Medicine and Surgery, "Sapienza" University of Rome, S. Andrea University Hospital, Rome, Italy.
  2. Shoulder and Elbow Unit, Humanitas Research Hospital, Rozzano, Milan, Italy.
  3. Department of Orthopaedics, University of Catania, Vittorio Emanuele Hospital, Catania, Italy.

PMID: 25606556 PMCID: PMC4295680 DOI: 10.11138/jts/2014.2.3.130

Abstract

Calcific tendinitis is a common disease that predominantly affects individuals aged between 40 and 60 years. Women seem to be more affected than men. Various factors have been suggested to play a role in this condition, such as abnormal activity of the thyroid gland, metabolic diseases (e.g. diabetes), and genetic predisposition. Various etiological hypotheses have been advanced: the degenerative and multiphasic theories are the two most accredited ones. Clinically, calcific tendinitis is characterized by severe, disabling pain which occurs spontaneously, usually in the morning. There can be concomitant stiffness, giving rise to a frozen shoulder-like clinical picture. Conventional radiography of the shoulder is the most appropriate imaging approach. Most cases resolve spontaneously. Many conservative treatments have been reported in the literature, showing varying levels of evidence of efficacy. Arthroscopic surgery is the orthopedic specialist's last option. It is to be noted that post-surgical pain can persist for many weeks after the operation. Finally, it is important not to forget the variant characterized by osteolytic involvement of the greater tuberosity, which has been associated with a worse clinical outcome, both after conservative treatment and after surgery.

Keywords: arthroscopy; calcific tendinitis; calcium deposit; rotator cuff; shoulder

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