Clinical/Sonographic Assessment and Management of Calcific Tendinopathy of the Shoulder: A Narrative Review
Abstract
:1. Introduction
2. Materials and Methods
3. Results and Discussion
3.1. Resting Phase
3.2. Resorptive Phase
3.3. Post-Calcific Stage
4. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Resting Phase | Resorptive Phase | Post-Calcific Phase | |
---|---|---|---|
Clinical Findings | Mechanical pain movement-induced (e.g., subacromial/subcoracoid impingement) | Inflammatory pain poorly dependent on movement (e.g., acute microcristalline bursitis) | Mixed pain coupled with glenohumeral stiffness (e.g., adhesive capsulitis) |
Sonographic Findings | Hard, arc-shaped calcific plaque with complete acoustic shadowing | Soft, irregular calcification with incomplete or absence acoustic shadowing | Regular echotexture of the rotator cuff tendons (no tendon sequelae) |
US-guided Procedures | Perforation/needling of the hard plaque + Rehabilitation | Barbotage of the soft deposition and/or bursal injection + Rehabilitation | Glenohumeral injection § + Rehabilitation (+/− suprascapular nerve block) |
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Ricci, V.; Mezian, K.; Chang, K.-V.; Özçakar, L. Clinical/Sonographic Assessment and Management of Calcific Tendinopathy of the Shoulder: A Narrative Review. Diagnostics 2022, 12, 3097. https://doi.org/10.3390/diagnostics12123097
Ricci V, Mezian K, Chang K-V, Özçakar L. Clinical/Sonographic Assessment and Management of Calcific Tendinopathy of the Shoulder: A Narrative Review. Diagnostics. 2022; 12(12):3097. https://doi.org/10.3390/diagnostics12123097
Chicago/Turabian StyleRicci, Vincenzo, Kamal Mezian, Ke-Vin Chang, and Levent Özçakar. 2022. "Clinical/Sonographic Assessment and Management of Calcific Tendinopathy of the Shoulder: A Narrative Review" Diagnostics 12, no. 12: 3097. https://doi.org/10.3390/diagnostics12123097