Causation and management of calcific tendonitis and periarthritis
- PMID: 23370373
- DOI: 10.1097/BOR.0b013e32835d4e85
Causation and management of calcific tendonitis and periarthritis
Abstract
Purpose of review: The purpose of this review is to update the reader on contemporary theory related to the cause of calcific periarthritis and provide the latest evidence associated with treating recalcitrant cases.
Recent findings: Contemporary theory suggests calcific periarthritis is the result of a cellular-mediated process in which calcium is deposited and resorbed via a multiple phase process. Resorption is associated with an acute inflammatory response and is often the factor that prompts one to seek medical care. The majority of cases require nothing more than a combination of symptomatic care and benign neglect. A small percentage of cases require intervention to further stimulate deposit resorption. Moderate evidence exists for extracorporeal shock wave therapy in the treatment of chronic cases related to deposits about the shoulder. Numerous case studies support the use of NSAIDs as an effective intervention for retropharyngeal periarthritis. If conservative interventions fail, surgery appears to be a viable option for symptom relief associated with rotator cuff calcific deposits.
Summary: Periarthritis is typically a symptom-limiting condition that resolves spontaneously. Numerous conservative treatment modalities each with varying levels of evidence exist for use in refractory cases. Future study is necessary to further refine the efficacy and parameters associated with available interventions.
Similar articles
-
Calcific tendinitis of the rotator cuff: management options.J Am Acad Orthop Surg. 2014 Nov;22(11):707-17. doi: 10.5435/JAAOS-22-11-707. J Am Acad Orthop Surg. 2014. PMID: 25344596 Review.
-
Extracorporeal shock wave therapy for calcific and noncalcific tendonitis of the rotator cuff: a systematic review.J Hand Ther. 2004 Apr-Jun;17(2):132-51. doi: 10.1197/j.jht.2004.02.003. J Hand Ther. 2004. PMID: 15162101 Review.
-
Extracorporeal shock wave treatment for shoulder calcific tendonitis: a systematic review.Skeletal Radiol. 2007 Sep;36(9):803-11. doi: 10.1007/s00256-007-0297-3. Epub 2007 Apr 6. Skeletal Radiol. 2007. PMID: 17415561 Review.
-
Evaluation and nonsurgical management of rotator cuff calcific tendinopathy.Orthop Clin North Am. 2015 Apr;46(2):293-302. doi: 10.1016/j.ocl.2014.11.011. Epub 2015 Jan 27. Orthop Clin North Am. 2015. PMID: 25771323 Review.
-
The Effectiveness of High-Energy Extracorporeal Shockwave Therapy Versus Ultrasound-Guided Needling Versus Arthroscopic Surgery in the Management of Chronic Calcific Rotator Cuff Tendinopathy: A Systematic Review.Arthroscopy. 2016 Jan;32(1):165-75. doi: 10.1016/j.arthro.2015.06.049. Epub 2015 Sep 15. Arthroscopy. 2016. PMID: 26382637 Review.
Cited by
-
Acute calcific periarthritis of the proximal phalangeal joint on the fifth finger: A case report and literature review.Medicine (Baltimore). 2020 Jul 31;99(31):e21477. doi: 10.1097/MD.0000000000021477. Medicine (Baltimore). 2020. PMID: 32756172 Free PMC article. Review.
-
Environmentally sustainable processes for the synthesis of hydroxyapatite.Heliyon. 2020 Apr 23;6(4):e03765. doi: 10.1016/j.heliyon.2020.e03765. eCollection 2020 Apr. Heliyon. 2020. PMID: 32368642 Free PMC article. Review.
-
Ultrasound-diagnosed disorders in shoulder patients in daily general practice: a retrospective observational study.BMC Fam Pract. 2014 Jun 10;15:115. doi: 10.1186/1471-2296-15-115. BMC Fam Pract. 2014. PMID: 24916105 Free PMC article.
-
Atypical localizations of calcific deposits in the shoulder.Int J Surg Case Rep. 2015;10:206-10. doi: 10.1016/j.ijscr.2015.04.011. Epub 2015 Apr 8. Int J Surg Case Rep. 2015. PMID: 25884610 Free PMC article.
-
New Horizons for Hydroxyapatite Supported by DXA Assessment-A Preliminary Study.Materials (Basel). 2022 Jan 26;15(3):942. doi: 10.3390/ma15030942. Materials (Basel). 2022. PMID: 35160888 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials
