Document Detail


Radiologic course of the calcific deposits in calcific tendinitis of the shoulder: does the initial radiologic aspect affect the final results?
MedLine Citation:
PMID:  19800263     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
HYPOTHESIS: Although conservative treatment is the first option for the treatment of calcific tendinitis, only a few reports have described its results, without documenting the radiologic changes over time of calcific deposits. We hypothesized that conservative treatment for calcific tendinitis of the shoulder would produce good clinical results in most patients and that the initial radiologic appearance of calcific deposits would not affect the final results. MATERIALS AND METHODS: The study enrolled 87 consecutive patients (92 shoulders) who were diagnosed with calcific tendinitis and underwent conservative treatment. The mean age at the time of first visit was 53.2 years. The mean follow-up period was 16.1 months. RESULTS: At the final follow-up, the Constant score increased to 83.64 points from a mean of 76.17 points at initial visit (P < .001). The score on the University of California, Los Angeles (UCLA) Shoulder Rating Scale improved from 23.42 to 29.69 points (P < .001), and there were 7 excellent (8%), 59 good (64%), and 26 poor (28%) results. Eleven shoulders (12%) revealed complete resolution of calcific deposits; 46 (50%) decreased in size; 18 (20%) had no change in size; and 17 (18%) increased in size. DISCUSSION: Most patients in calcific tendinitis require treatment due to very severe shoulder pain, and conservative treatment may take precedence over operative treatment. Radiologic changes of calcific deposits report varying results depending on treatment methods. This study suggested that good radiologic results may be expected without performing special therapies. CONCLUSION: Conservative treatment for calcific tendinitis of the shoulder showed clinically significant improvement, with 72% of excellent or good results regardless of the location, radiologic type and size, and initial symptoms of calcific deposits. By radiologic type, 46% of the calcific deposits had a tendency to become more cloudy and inhomogeneous than initial findings, and 62% presented complete resolution or decrease in the size.
Authors:
Nam Su Cho; Bong Gun Lee; Yong Girl Rhee
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-10-01
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  19     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-26     Completed Date:  2010-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  267-72     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.
Affiliation:
Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Calcinosis / radiography*,  therapy
Cohort Studies
Disease Progression
Female
Follow-Up Studies
Humans
Male
Middle Aged
Physical Examination / methods
Probability
Range of Motion, Articular / physiology*
Risk Assessment
Severity of Illness Index
Shoulder Joint*
Shoulder Pain / etiology,  radiography
Statistics, Nonparametric
Tendinopathy / radiography*,  therapy
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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