Tactics choice of treatment of shoulder calcific tendinitis taking into account the phase of the disease

Abstract

Calcific tendinitis is a fairly common disease of the shoulder joint with a characteristic accumulation of calcium hydroxyapatite in the tendons of the rotator cuff. This disease is accompanied by pain and functional disorders in the shoulder joint. The aim of the study – to form a method of individual approach in the choice of treatment tactics of this disease on the basis of clinical manifestations and results of additional research methods and to evaluate the results. Materials and Methods. Examination and treatment of 74 patients with calcific tendonitis of the rotator cuff were performed. The mean age of patients was (45.4±1.3); there were 28 (37.84 %) men, and 46 (62.16 %) women. The examination included: general clinical and instrumental methods of study, namely -- examination of the patient with functional tests for the shoulder joint, radiography, sonography, with indications – magnetic resonance imaging. Results. Treatment was selected as individually as possible for each patient taking into account phases of the disease. Clinical and sonographic recovery was noted in 33 (62.27 %) people in 2 weeks after treatment. Surgical treatment under arthroscopic control was performed in 10 (13.51 %) patients. Conclusions. Treatment should be selected individually for each patient, taking into account the phase of the disease and include non-steroidal anti-inflammatory drugs, non-benzodiazepine antispasmodics, needling with local anesthetics and prolonged glucocorticoids, cryotherapy and physical therapy

Keywords

• shoulder joint
• calcific tendinitis
• rotator cuff
• radiography
• sonography
• mri
• needling