Rotator cuff calcific tendinopathy: from diagnosis to treatment

Rotator cuff calcific tendinopathy: from diagnosis to treatment

Authors

  • Vito Chianca
  • Domenico Albano
  • Carmelo Messina
  • Federico Midiri
  • Giovanni Mauri
  • Alberto Aliprandi
  • Michele Catapano
  • Lorenzo Carlo Pescatori
  • Cristian Giuseppe Monaco
  • Salvatore Gitto
  • Anna Pisani Mainini
  • Angelo Corazza
  • Santi Rapisarda
  • Grazia Pozzi
  • Antonio Barile
  • Carlo Masciocchi
  • Luca Maria Sconfienza

Keywords:

calcific tendinopathy, rotator cuff, US, MRI, percutaneous treatments

Abstract

Rotator cuff calcific tendinopathy (RCCT) is a very common condition caused by the presence of calcific deposits in the rotator cuff (RC) or in the subacromial-subdeltoid (SASD) bursa when calcification spreads around the tendons. The pathogenetic mechanism of RCCT is still unclear. It seems to be related to cell-mediated disease in which metaplastic transformation of tenocytes into chondrocytes induces calcification inside the tendon of the RC. RCCT is a frequent finding in the RC that may cause significant shoulder pain and disability. It can be easily diagnosed with imaging studies as conventional radiography (CR) or ultrasound (US). Conservative management of RCCT usually involves rest, physical therapy, and oral NSAIDs administration. Imaging-guided treatments are currently considered minimally-invasive, yet effective methods to treat RCCT with about 80% success rate. Surgery remains the most invasive treatment option in chronic cases that fail to improve with other less invasive approaches. 

 

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Published

19-01-2018

How to Cite

1.
Chianca V, Albano D, Messina C, Midiri F, Mauri G, Aliprandi A, et al. Rotator cuff calcific tendinopathy: from diagnosis to treatment. Acta Biomed [Internet]. 2018 Jan. 19 [cited 2024 Jul. 17];89(1-S):186-9. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/7022