Shoulder Pathologies

Calcic tendinitis of the shoulder

Calcic tendinitis of the shoulder

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Intra-tendinous calcic depositions

 

Definition:
Intra-tendinous calcic depositions : unknown etiology
Occasionally bilateral

Clinical aspect:
Intense, acute pain without history of trauma

 

Standard X-Rays: AP (neutral, medial and lateral rotation), Lamy and axillary lateral views
The calcic tendonitis can then be classified as type A, B or C.

 

Ultrasound : diagnosis confirmation and tendon assessment

 

Symptoms less than 12 months duration: splint, anti-inflammatory and analgesic drugs, which, in 80% of cases, eliminate the pain and allow for calcification resorption.

Pain over 12 months

  • Echo-guided or radio-guided percutaneous aspiration (Type A calcification)
  • Removal of the calcification with surgical arthroscopy

 

The type of procedure depends on the classification of the calcic tendonitis.

Type A: tendon incision (evacuation of calcification) with synovectomy and bursectomy
Type B: removal of calcification with synovectomy and bursectomy
Type C: removal of calcification with synovectomy, bursectomy and acromioplasty

 

Outpatient procedure, or 24 hour hospitalization
The patient is fitted with a sling for 8 days

Immediate rehabilitation (self-rehab and rehab with a physiotherapist)
Recovery after one, two or three months

Complete motion, no recurrence
Possibility of calcic tendonitis in other locations !

 

Institut de la main

In 20 years of existence, the INSTITUT DE LA MAIN has become one of the main hand and upper limb surgery centers in Europe. Its nine surgeons on staff can treat all hand and upper limb problems. 

 

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Institut de la Main
Clinique Bizet
21 rue Georges Bizet
75016 PARIS

Front Desk : +331 84 13 04 56

Hand Emergencies : +331 84 131 131