title: Evaluation and nonsurgical management of rotator cuff calcific tendinopathy.
abstract: Rotator cuff calcific tendinopathy is a common finding that accounts for about 7% of patients with shoulder pain. There are numerous theories on the pathogenesis of rotator cuff calcific tendinopathy. The diagnosis is confirmed with radiography, MRI or ultrasound. There are numerous conservative treatment options available and most patients can be managed successfully without surgical intervention. Nonsteroidal anti-inflammatory drugs and multiple modalities are often used to manage pain and inflammation; physical therapy can help improve scapular mechanics and decrease dynamic impingement; ultrasound-guided needle aspiration and lavage techniques can provide long-term improvement in pain and function in these patients.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address: arigreis@gmail.com.
authors.forename: Ari C
authors.initials: AC
authors.lastname: Greis
authors.affiliation: Department of Physical Medicine and Rehabilitation, Thomas Jefferson University, 25 South 9th Street, Philadelphia, PA 19107, USA.
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Derrington
authors.affiliation: Department of Physical Medicine and Rehabilitation, Thomas Jefferson University, 25 South 9th Street, Philadelphia, PA 19107, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: McAuliffe
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002114:Calcinosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D019468:Disease Management; D006801:Humans; D026741:Physical Therapy Modalities; D017006:Rotator Cuff; D052256:Tendinopathy / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: Aspiration; Calcific tendinopathy; Lavage; Rotator cuff; Shoulder pain; Ultrasound