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10 terms

Cacific tendonitis

STUDY
PLAY
Definition
Dystrophic calcification of rotator cuff resulting in tendonitis
Epidemiology
30-50yrs
Pathology
Depsition of calcium Hydroxiapatite in supraspinatous
Phases
1.Precalcification
2.Calcification stage-Formation→Resting→Resorption
3.Post calcific stage
Natural history
Self limiting with complete resolution
Imaging
AP in ER and IR
Blood Tests
Usually low grade increase in CRP ESR
Treatment Non-operative
1.Physiotherapy
2. NSAIDS
3. Steroid Injection
Surgical-indications
Indications
1. Ongoing severe pain
2. Progression
3. No improvement after non-operative measures
Surgery
I would offer Arthroscopic Bursal debridement
Other options include open debridement or Aspiration under LA or GA