To prevent tendinitis calcarea (tendon calcification), attention must be paid to reducing individual risk factors. Behavioral risk factors High-risk sports such as throwing sports (for tendinitis calcarea in the shoulder area (calcified shoulder)). Disease-related risk factors. Injuries, poisonings and other consequences of external causes (S00-T98). Trauma (injury) to the shoulder, unspecified.
The following symptoms and complaints may indicate tendinitis calcarea (tendonosis): Restricted movement Rubor (redness) Pain Tumor (swelling) The following symptoms and complaints may indicate tendinitis calcarea in the shoulder (calcific shoulder): Pseudoparalysis (inability to move the arm) – especially in the resorption phase, see “Etiology/causes” below. Painful arc (“painful arc”) – In this case, pain … Tendon Calcification (Tendinosis Calcarea): Symptoms, Complaints, Signs
Pathogenesis (disease development) Tendinosis calcarea is thought to result from degenerative processes, such as those triggered by reduced blood flow to the tendon attachment to bone. Mechanical causes such as an anatomically narrow space may also promote degeneration. It is likely that the development of calcifications is multifactorial. The calcification foci can cause discomfort due … Tendon Calcification (Tendinosis Calcarea): Causes
General measures Depending on the symptoms and stage of disease: Relief and immobilization Sports leave As soon as the pain subsides, physiotherapy (see below) should be started. In case of trauma – care depending on the nature of the injury. Conventional non-surgical therapy methods Anti-inflammatory drugs (drugs that inhibit inflammatory processes). In case of tendinosis … Tendon Calcification (Tendinosis Calcarea): Therapy
Therapeutic targets Reduction of pain Increase in the ability to move Therapy recommendations Anti-inflammatory drugs (drugs that inhibit inflammatory processes; non-steroidal anti-inflammatory drugs, NSAIDs), e.g. acetylsalicylic acid (ASA), ibuprofen. If necessary, injection of local anesthetics (local anesthesia) and / or steroids (glucocorticoids) under the acromion (subacromial infiltration). See also under “Further therapy“. Further notes The … Tendon Calcification (Tendinosis Calcarea): Drug Therapy
Obligatory medical device diagnostics. Radiograph of the affected tendon or region, in two planes – to localize the calcific deposit and to assess its extent. Sonography (ultrasound examination) of the affected tendon or affected region – to localize the calcific deposit and to assess the extent. Optional medical device diagnostics – depending on the results … Tendon Calcification (Tendinosis Calcarea): Diagnostic Tests
If spontaneous healing (self-healing) fails to occur or if conservative therapies do not produce the desired results, pain persists or is chronic (> 6 months), and in cases of larger calcified foci (diameter > 1 cm), surgical therapy should be considered. Removal of the calcium foci relieves pressure, which also relieves severe pain. The removal … Tendon Calcification (Tendinosis Calcarea): Surgical Therapy
Medical history (history of illness) represents an important component in the diagnosis of tendinosis calcarea (tendon calcification). Family history Are there frequent diseases of tendons or bones/joints in your family? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). Where exactly is the pain localized? What is the character of … Tendon Calcification (Tendinosis Calcarea): Medical History
Tendinitis calcarea (tendon calcification) Infectious and parasitic diseases (A00-B99). Bacterial infection, unspecified Musculoskeletal system and connective tissue (M00-M99). Arthritis urica – joint inflammation based on a disorder of uric acid metabolism. Rupture (tear) in the affected region. Tendinitis calcarea in the shoulder region (calcareous shoulder) Musculoskeletal system and connective tissue (M00-M99). “Frozen shoulder” (synonym: periarthritis … Tendon Calcification (Tendinosis Calcarea): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by tendinosis calcarea (tendon calcification): Musculoskeletal system and connective tissue (M00-M99). Adhesive bursitis (bursitis). Adhesive capsulitis (capsulitis). Chronic restriction of movement Rupture (tear) in the affected region The following are the most important diseases or complications that can be caused by tendinosis … Tendon Calcification (Tendon Calcification (Tendinosis Calcarea)): Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait (fluid, limping). Body or joint posture (upright, bent, gentle posture). Malpositions (deformities, contractures, shortenings). Muscle atrophies (side … Tendon Calcification (Tendinosis Calcarea): Examination
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Rheumatological diagnostics: RF (rheumatoid factor), ANA (antinuclear antibodies), anti-citrulline antibodies – if rheumatoid arthritis is suspected (pcP).
