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    Orthop Clin North Am. 2003 Oct;34(4):567-75.

    Calcific tendinitis of the shoulder.

    Source

    The Hughston Clinic, PC, 6262 Veterans Parkway, Columbus, GA 31909, USA.

    Abstract

    Calcific tendinitis of the shoulder is a process involving calcium deposition commonly in the rotator cuff tendons. It is a cell-mediated process that is often chronic in nature, but it is usually self-limiting with regard to its acute pain states. Nonoperative management is still the treatment of choice and is successful in up to 90% of patients. When conservative measures fail, a needling technique or surgical removal may be indicated; the trend is toward arthroscopic management. Acromioplasty should not be performed without radiographic signs of impingement. If a resulting large rotator cuff defect is found after removal of the calcific deposit, it may be worthwhile to close the defect arthroscopically with suture to prevent cuff tear progression and to promote healing.

    PMID:
    14984196
    [PubMed - indexed for MEDLINE]

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