Management and Consequences of the Rotator Cuff Calcific Tendinopathy

  • Gregorz Adamczyk
  • Maciej Miszczak
  • Mustafa Karahan
  • Radovan Mihelic
  • Manos Antonogiannakis
  • Vojtech Havlas
  • Jakub Kautzner
  • Oksana Sevastyanova
  • Pietro Randelli


Calcific tendinopathy of the rotator cuff represents a treatment challenge since there is no consensus on its treatment. Unfortunately, up to 38 % of the calcifications do not disappear with time. The persistence of the calcification is detrimental to the tendon biology and resistance. Thus, it is mandatory to follow up the calcification and to treat it in case it would not reabsorb spontaneously. Nonsteroidal anti-inflammatory drugs, rest, exercises, physiotherapy, and shock wave therapy are being used with varying results. Those who have not benefited from the conservative measures are indicated for nonsurgical invasive interventions or surgical treatment. Invasive interventions include steroid/anesthetic injection, barbotage (multiple needle punctures), aspiration, and ultrasound lavage. Surgical (arthroscopic) treatment should be reserved for chronic cases or for cuff ruptures due to the deposit.


Rotator Cuff Rotator Cuff Tear Constant Score Extracorporeal Shock Wave Therapy Arthroscopic Treatment 
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Copyright information

© ESSKA 2012

Authors and Affiliations

  • Gregorz Adamczyk
    • 1
  • Maciej Miszczak
    • 1
  • Mustafa Karahan
    • 2
  • Radovan Mihelic
    • 3
  • Manos Antonogiannakis
    • 4
  • Vojtech Havlas
    • 5
  • Jakub Kautzner
    • 5
  • Oksana Sevastyanova
    • 5
  • Pietro Randelli
    • 6
  1. 1.Department of OrthopedicsCarolina Medical CenterWarsawPoland
  2. 2.Department of Orthopedics and TraumatologyMarmara University School of MedicíněIstanbulTurkey
  3. 3.Orthopedic Clinic of Lovran Medical SchoolUniversity of RijekaRijekaCroatia
  4. 4.2nd Orthopedic DepartmentCenter for Shoulder Arthroscopy, IASO General HospitalAthensGreece
  5. 5.Department of Orthopedics and Traumatology, 2nd Faculty of MedicineCharles University PraguePragueCzech Republic
  6. 6.Department of OrthopedicsUniversity of Milan, IRCCS Policlinico San DonatoMilanItaly

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