Calcific Tendonitis of the Rotator Cuff: An Unusual Case

Few case reports have described the surgical treatment of calcifying tendonitis of the subscapularis tendon. We present a case of symptomatic diffuse calcifying tendonitis involving the subscapularis and infraspinatus insertions that was difficult to detect arthroscopically. The patient was treated...

Full description

Saved in:
Bibliographic Details
Main Authors: Yasuhiro Mitsui, Masafumi Gotoh, Ryo Tanesue, Isao Shirachi, Hideaki Shibata, Kenjiro Nakama, Takahiro Okawa, Fujio Higuchi, Kensei Nagata
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2012/806769
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849402470436962304
author Yasuhiro Mitsui
Masafumi Gotoh
Ryo Tanesue
Isao Shirachi
Hideaki Shibata
Kenjiro Nakama
Takahiro Okawa
Fujio Higuchi
Kensei Nagata
author_facet Yasuhiro Mitsui
Masafumi Gotoh
Ryo Tanesue
Isao Shirachi
Hideaki Shibata
Kenjiro Nakama
Takahiro Okawa
Fujio Higuchi
Kensei Nagata
author_sort Yasuhiro Mitsui
collection DOAJ
description Few case reports have described the surgical treatment of calcifying tendonitis of the subscapularis tendon. We present a case of symptomatic diffuse calcifying tendonitis involving the subscapularis and infraspinatus insertions that was difficult to detect arthroscopically. The patient was treated with arthroscopic incision of the tendinous insertions thorough removal of the calcific deposits and subsequent repair using a suture-anchor technique. Two years after the surgical procedure, the patient was completely pain-free and attained full range of motion. Radiographic evaluation performed 2 years after the procedure revealed no calcific deposits. We conclude that the combination of incision of the subscapularis and infraspinatus insertions, complete removal of the calcific deposits, and subsequent suture-anchor repair in an all-arthroscopic manner can lead to an excellent clinical outcome without compromising the functional integrity of the rotator cuff tendons.
format Article
id doaj-art-8340ccf835e1473e8475fea3f2ad3449
institution Kabale University
issn 2090-6749
2090-6757
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-8340ccf835e1473e8475fea3f2ad34492025-08-20T03:37:31ZengWileyCase Reports in Orthopedics2090-67492090-67572012-01-01201210.1155/2012/806769806769Calcific Tendonitis of the Rotator Cuff: An Unusual CaseYasuhiro Mitsui0Masafumi Gotoh1Ryo Tanesue2Isao Shirachi3Hideaki Shibata4Kenjiro Nakama5Takahiro Okawa6Fujio Higuchi7Kensei Nagata8Department of Orthopedic Surgery, Kurume University Medical Center, 155 Kokubu-machi, Kurume, Fukuoka 839-0863, JapanDepartment of Orthopedic Surgery, Kurume University Medical Center, 155 Kokubu-machi, Kurume, Fukuoka 839-0863, JapanDepartment of Orthopedic Surgery, Kurume University Medical Center, 155 Kokubu-machi, Kurume, Fukuoka 839-0863, JapanDepartment of Orthopedic Surgery, Kurume University, 67 Asahi-machi, Kurume, Fukuoka 830-0011, JapanDepartment of Orthopedic Surgery, Kurume University, 67 Asahi-machi, Kurume, Fukuoka 830-0011, JapanDepartment of Orthopedic Surgery, Kurume University, 67 Asahi-machi, Kurume, Fukuoka 830-0011, JapanDepartment of Orthopedic Surgery, Kurume University Medical Center, 155 Kokubu-machi, Kurume, Fukuoka 839-0863, JapanDepartment of Orthopedic Surgery, Kurume University Medical Center, 155 Kokubu-machi, Kurume, Fukuoka 839-0863, JapanDepartment of Orthopedic Surgery, Kurume University, 67 Asahi-machi, Kurume, Fukuoka 830-0011, JapanFew case reports have described the surgical treatment of calcifying tendonitis of the subscapularis tendon. We present a case of symptomatic diffuse calcifying tendonitis involving the subscapularis and infraspinatus insertions that was difficult to detect arthroscopically. The patient was treated with arthroscopic incision of the tendinous insertions thorough removal of the calcific deposits and subsequent repair using a suture-anchor technique. Two years after the surgical procedure, the patient was completely pain-free and attained full range of motion. Radiographic evaluation performed 2 years after the procedure revealed no calcific deposits. We conclude that the combination of incision of the subscapularis and infraspinatus insertions, complete removal of the calcific deposits, and subsequent suture-anchor repair in an all-arthroscopic manner can lead to an excellent clinical outcome without compromising the functional integrity of the rotator cuff tendons.http://dx.doi.org/10.1155/2012/806769
spellingShingle Yasuhiro Mitsui
Masafumi Gotoh
Ryo Tanesue
Isao Shirachi
Hideaki Shibata
Kenjiro Nakama
Takahiro Okawa
Fujio Higuchi
Kensei Nagata
Calcific Tendonitis of the Rotator Cuff: An Unusual Case
Case Reports in Orthopedics
title Calcific Tendonitis of the Rotator Cuff: An Unusual Case
title_full Calcific Tendonitis of the Rotator Cuff: An Unusual Case
title_fullStr Calcific Tendonitis of the Rotator Cuff: An Unusual Case
title_full_unstemmed Calcific Tendonitis of the Rotator Cuff: An Unusual Case
title_short Calcific Tendonitis of the Rotator Cuff: An Unusual Case
title_sort calcific tendonitis of the rotator cuff an unusual case
url http://dx.doi.org/10.1155/2012/806769
work_keys_str_mv AT yasuhiromitsui calcifictendonitisoftherotatorcuffanunusualcase
AT masafumigotoh calcifictendonitisoftherotatorcuffanunusualcase
AT ryotanesue calcifictendonitisoftherotatorcuffanunusualcase
AT isaoshirachi calcifictendonitisoftherotatorcuffanunusualcase
AT hideakishibata calcifictendonitisoftherotatorcuffanunusualcase
AT kenjironakama calcifictendonitisoftherotatorcuffanunusualcase
AT takahirookawa calcifictendonitisoftherotatorcuffanunusualcase
AT fujiohiguchi calcifictendonitisoftherotatorcuffanunusualcase
AT kenseinagata calcifictendonitisoftherotatorcuffanunusualcase