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
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 !
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