Clinical evaluation and management of calcific tendinopathy: an evidence-based review

Calcific tendinopathy (CT) is an important musculoskeletal condition most commonly seen in the shoulder girdle, accounting for 10–42% of all shoulder pain. Despite the high prevalence within the shoulder region, CT has been demonstrated in many tendons throughout the axial and appendicular skeleton....

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Bibliographic Details
Published in:Journal of Osteopathic Medicine (Online) 2022-02, Vol.122 (3), p.141-151
Main Authors: Catapano, Michael, Robinson, David M., Schowalter, Sean, McInnis, Kelly C.
Format: Article
Language:English
Subjects:
Asymptomatic
calcific tendinopathy
calcific tendonitis
Calcification
Calcinosis - surgery
Calcinosis - therapy
Collagen
Debridement
evaluation
Extracellular matrix
Hospitals
Humans
Hydroxyapatite
Medicine
Pain
Pathogenesis
Pathophysiology
Point of care testing
Rehabilitation
Rotator cuff
Tendinopathy - surgery
Tendinopathy - therapy
Tendons
Therapeutic Irrigation
treatment
Ultrasonic imaging
ultrasound
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Summary:Calcific tendinopathy (CT) is an important musculoskeletal condition most commonly seen in the shoulder girdle, accounting for 10–42% of all shoulder pain. Despite the high prevalence within the shoulder region, CT has been demonstrated in many tendons throughout the axial and appendicular skeleton. Unlike degenerative tendinopathies, CT appears to be a self-limiting condition that affects otherwise-healthy tendon with deposition of calcium hydroxyapatite crystals between healthy tenocytes. In patients with functionally limiting symptoms or pain, the clinical course may be accelerated through a multitude of treatments including physical therapy and pain management, extracorporeal shock wave therapy, ultrasound-guided percutaneous lavage (UGPL), and operative debridement. Currently, the most efficacious and frequently utilized treatment for shoulder CT is UGPL due to its ability to effectively reduce calcium burden and pain while limiting soft-tissue damage. However, more evidence regarding the treatment and course of CT is needed before determining the most appropriate treatment at all potential sites of CT.
ISSN:2702-3648
2702-3648
DOI:10.1515/jom-2021-0213