Update on Evaluation and Management of Calcific Tendinopathy

Purpose of Review This paper aims to assess the pathophysiology, clinical evaluation, and latest evidence-based treatments for calcific tendinopathy (CT). We focus on shoulder CT and provide other regional anatomy pearls when applicable. Recent Findings Ultrasound and plain radiographs are the prima...

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Bibliographic Details
Published in:Current physical medicine and rehabilitation reports 2021-09, Vol.9 (3), p.57-69
Main Authors: Robinson, David M., Schowalter, Sean, McInnis, Kelly C.
Format: Article
Language:English
Subjects:
Analgesics
Asymptomatic
Calcification
Collagen
Diabetes
Fibroblasts
Hydroxyapatite
Hypothyroidism
Hypoxia
Medicine
Medicine & Public Health
Pain
Pathophysiology
Patients
Physical therapy
Range of motion
Rehabilitation Medicine
Rotator cuff
Section Editors
Sports Medicine Rehabilitation (BC Liem and JA Soo Hoo
Tendons
Topical Collection on Sports Medicine Rehabilitation
Ultrasonic imaging
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Summary:Purpose of Review This paper aims to assess the pathophysiology, clinical evaluation, and latest evidence-based treatments for calcific tendinopathy (CT). We focus on shoulder CT and provide other regional anatomy pearls when applicable. Recent Findings Ultrasound and plain radiographs are the primary imaging modalities for diagnosis. Imaging findings can also be helpful in guiding prognosis and treatment. Ultrasound-guided percutaneous lavage coupled with a subacromial injection should be considered if symptoms persist despite conservative management. High-energy shockwave therapy, both focused and radial, also appears to provide positive outcomes. Additional research is needed before ultrasonic tenotomy can be routinely recommended. For patients in which the aforementioned treatments are unsuccessful, arthroscopic debridement shows a high level of success. Summary CT is a commonly encountered pathology, particularly in the shoulder rotator cuff. Most often cases are self-limited; however in cases of severe or persistent pain, minimally invasive treatment techniques provide encouraging results.
ISSN:2167-4833
2167-4833
DOI:10.1007/s40141-021-00317-4