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Castagna A, DE Giorgi S, Garofalo R, et al. Calcifying tendinitis of the shoulder: arthroscopic needling versus complete calcium removal and rotator cuff repair. A prospective comparative study. Joints. 2016;3(4):166-72doi: 10.11138/jts/2015.3.4.166.
Castagna, A., DE Giorgi, S., Garofalo, R., Conti, M., Tafuri, S., & Moretti, B. (2015). Calcifying tendinitis of the shoulder: arthroscopic needling versus complete calcium removal and rotator cuff repair. A prospective comparative study. Joints, 3(4), 166-72. https://doi.org/10.11138/jts/2015.3.4.166
Castagna, Alessandro, et al. "Calcifying tendinitis of the shoulder: arthroscopic needling versus complete calcium removal and rotator cuff repair. A prospective comparative study." Joints vol. 3,4 (2015): 166-72. doi: https://doi.org/10.11138/jts/2015.3.4.166
Castagna A, DE Giorgi S, Garofalo R, Conti M, Tafuri S, Moretti B. Calcifying tendinitis of the shoulder: arthroscopic needling versus complete calcium removal and rotator cuff repair. A prospective comparative study. Joints. 2016 Jan 31;3(4):166-72. doi: 10.11138/jts/2015.3.4.166. eCollection 2015. PMID: 26904521; PMCID: PMC4739535.
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Joints. 2016 Jan 31;3(4):166-72. doi: 10.11138/jts/2015.3.4.166. eCollection 2015.

Calcifying tendinitis of the shoulder: arthroscopic needling versus complete calcium removal and rotator cuff repair. A prospective comparative study.

Joints

Alessandro Castagna, Silvana DE Giorgi, Raffaele Garofalo, Marco Conti, Silvio Tafuri, Biagio Moretti

Affiliations

  1. Shoulder and Elbow Service, IRCCS Humanitas Institute, Rozzano, Milan, Italy.
  2. Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari, Italy.
  3. Shoulder Service, MIULLI Hospital, Acquaviva delle Fonti, Bari, Italy.
  4. Department of Biomedical Science and Human Oncology, University of Bari, Italy.

PMID: 26904521 PMCID: PMC4739535 DOI: 10.11138/jts/2015.3.4.166

Abstract

PURPOSE: the aim of the present study was to verify the differences in the clinical outcomes of two arthroscopic techniques used to treat calcifying tendinitis of the shoulder: needling versus complete removal of the calcium deposit and tendon repair.

METHODS: from September 2010 to September 2012, 40 patients with calcifying tendinitis of the rotator cuff were arthroscopically treated by the same surgeon using one of the two following techniques: needling (Group 1) and complete removal of the calcium deposit and tendon repair with suture anchors (Group 2). Both groups followed the same rehabilitation program. The two groups were compared at 6 and 12 months of follow-up for the presence of residual calcifications and for the following clinical outcomes: Constant score, American Shoulder and Elbow Surgeons Evaluation Form (ASES) shoulder score, University of California Los Angeles (UCLA) shoulder rating scale, Simple Shoulder Test (SST) and Visual Analogue Scale (VAS).

RESULTS: all the clinical scores (Constant, ASES, UCLA, SST and VAS scores) improved significantly between baseline and postoperative follow-up, both at 6 and at 12 months. No differences at final follow-up were found between the two groups.

CONCLUSIONS: both the techniques were effective in solving the symptoms of calcifying tendinitis of the shoulder. Clinical scores improved in both groups. Residual calcifications were found in only a few cases and were always less than 10 mm.

LEVEL OF EVIDENCE: Level II, prospective comparative study.

Keywords: calcifying tendinitis; calcium deposit; needling; removal; rotator cuff; shoulder

References

  1. Knee Surg Sports Traumatol Arthrosc. 2012 Feb;20(2):368-72 - PubMed
  2. Clin Orthop Relat Res. 2001 Jun;(387):72-82 - PubMed
  3. Clin Orthop Relat Res. 1987 Jan;(214):160-4 - PubMed
  4. Am J Sports Med. 2012 Mar;40(3):657-61 - PubMed
  5. Chir Organi Mov. 2005 Apr-Jun;90(2):105-12 - PubMed
  6. Arthroscopy. 1992;8(2):183-8 - PubMed
  7. Rev Chir Orthop Reparatrice Appar Mot. 2008 Dec;94(8 Suppl):336-55 - PubMed
  8. Joints. 2014 Aug 01;2(3):130-6 - PubMed
  9. Chir Organi Mov. 1996 Apr-Jun;81(2):207-12 - PubMed
  10. J Shoulder Elbow Surg. 2009 Mar-Apr;18(2):210-5 - PubMed
  11. J Shoulder Elbow Surg. 1995 Mar-Apr;4(2):101-6 - PubMed
  12. J Shoulder Elbow Surg. 2004 Sep-Oct;13(5):503-8 - PubMed
  13. Rev Chir Orthop Reparatrice Appar Mot. 1993;79(7):532-41 - PubMed

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