title: Calcific tendonitis of the rotator cuff: an unusual case.
abstract: 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.
authors.affiliation: Department of Orthopedic Surgery, Kurume University Medical Center, 155 Kokubu-machi, Kurume, Fukuoka 839-0863, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Mitsui
authors.forename: Masafumi
authors.initials: M
authors.lastname: Gotoh
authors.forename: Ryo
authors.initials: R
authors.lastname: Tanesue
authors.forename: Isao
authors.initials: I
authors.lastname: Shirachi
authors.forename: Hideaki
authors.initials: H
authors.lastname: Shibata
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Nakama
authors.forename: Takahiro
authors.initials: T
authors.lastname: Okawa
authors.forename: Fujio
authors.initials: F
authors.lastname: Higuchi
authors.forename: Kensei
authors.initials: K
authors.lastname: Nagata