Surgical approaches of shoulder calcific tendonitis: a systematic review and meta-analysis

Emad Anam, MD, MSc, FRCS(C); Samah Zahran, MSc; Angelique Roy, MA, MI; Parham Daneshvar, MD, FRCSC; Ryan T. Bicknell, MD, MSc, FRCS(C); Ian Janssen, PhD

JSES Reviews, Reports, and Techniques (Aug 2024)

Surgical approaches of shoulder calcific tendonitis: a systematic review and meta-analysis

Emad Anam, MD, MSc, FRCS(C),
Samah Zahran, MSc,
Angelique Roy, MA, MI,
Parham Daneshvar, MD, FRCSC,
Ryan T. Bicknell, MD, MSc, FRCS(C),
Ian Janssen, PhD

Affiliations

Emad Anam, MD, MSc, FRCS(C): Orthopedic Surgery Department, King Abdulaziz University, Jeddah, Saudi Arabia; Corresponding author: Emad Anam, MD, FRCSc, Orthopedic Department, King Abdulaziz University, Jeddah, Saudi Arabia; Orthopedic Department, Brockville General Hospital, 75 Charles St, Brockville, ON K6V 1S8, Canada.
Samah Zahran, MSc: School of Kinesiology and Health Studies, Queen’s University, Kingston, ON, Canada
Angelique Roy, MA, MI: Health Sciences Library, Queen’s University, Kingston, ON, Canada
Parham Daneshvar, MD, FRCSC: Division of Orthopedic Surgery, Department of Surgery, Kingston Health Sciences Centre, Queen’s University, Kingston, ON, Canada
Ryan T. Bicknell, MD, MSc, FRCS(C): Division of Orthopedic Surgery, Department of Surgery, Kingston Health Sciences Centre, Queen’s University, Kingston, ON, Canada; Department of Mechanical and Materials Engineering, Queen’s University, Kingston, ON, Canada
Ian Janssen, PhD: School of Kinesiology and Health Studies, Queen’s University, Kingston, ON, Canada; Department of Public Health Sciences, Queen’s University, Kingston, ON, Canada

Journal volume & issue: Vol. 4, no. 3
pp. 353 – 358

Abstract

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Background: Calcific tendonitis is a painful shoulder disorder characterized by calcium deposits (CDs) in the rotator cuff tendon. This systematic review and meta-analysis examined the most efficient surgical procedure for calcific tendonitis. This includes the comparison between the three main surgical techniques: CD removal, CD removal with subacromial decompression (SAD) and CD removal with tendon repair with respect to functional outcomes and pain control scores. Methods: Four electronic databases (MEDLINE, EMBASE, CINAHL, and Cochrane Central Register of Controlled Trials) were searched in February 2023. Studies were eligible for inclusion if they were peer-reviewed, and participants were patients diagnosed with calcific tendonitis of one or more rotator cuff tendon based on diagnostic imaging who underwent shoulder calcific tendonitis surgery. Other shoulder pathology diagnoses were excluded. Meta-analyses were conducted for results that were sufficiently homogeneous in terms of statistical, clinical, and methodological characteristics. Subgroup analyses were performed to determine if effect sizes differed based on the patient’s position during the surgery, physiotherapy, and follow-up time. Results: All surgical interventions resulted in significant improvements in shoulder function and pain control. There were no significant differences between CD removal vs. CD removal with SAD or CD removal vs. CD removal with tendon repair. However, there was a trend in favor of CD removal alone or CD removal with SAD approaches, as they provided better outcome scores than CD removal with tendon repair in terms of shoulder function and pain control. Conclusions: All surgical interventions provide substantial improvement in shoulder functions and pain control scores with no significant difference between these surgical techniques.

Published in JSES Reviews, Reports, and Techniques

ISSN: 2666-6391 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/jses-reviews-reports-and-techniques/

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