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Orthop Clin North Am. 2015 Apr;46(2):293-302. doi: 10.1016/j.ocl.2014.11.011. Epub 2015 Jan 27.

Evaluation and nonsurgical management of rotator cuff calcific tendinopathy.

Author information

1
Department of Physical Medicine and Rehabilitation, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address: arigreis@gmail.com.
2
Department of Physical Medicine and Rehabilitation, Thomas Jefferson University, 25 South 9th Street, Philadelphia, PA 19107, USA.

Abstract

Rotator cuff calcific tendinopathy is a common finding that accounts for about 7% of patients with shoulder pain. There are numerous theories on the pathogenesis of rotator cuff calcific tendinopathy. The diagnosis is confirmed with radiography, MRI or ultrasound. There are numerous conservative treatment options available and most patients can be managed successfully without surgical intervention. Nonsteroidal anti-inflammatory drugs and multiple modalities are often used to manage pain and inflammation; physical therapy can help improve scapular mechanics and decrease dynamic impingement; ultrasound-guided needle aspiration and lavage techniques can provide long-term improvement in pain and function in these patients.

KEYWORDS:

Aspiration; Calcific tendinopathy; Lavage; Rotator cuff; Shoulder pain; Ultrasound

PMID:
25771323
DOI:
10.1016/j.ocl.2014.11.011
[Indexed for MEDLINE]

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