Tendon Calcification (Tendinosis Calcarea): Or something else? Differential Diagnosis

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 humeroscapularis, painful frozen shoulder, and Duplay syndrome) – Adhesive capsulitis; extensive, painful abolition of shoulder mobility (painful frozen shoulder).
  • Impingement syndrome (English “collision”) – the symptomatology of this syndrome is based on the presence of a constriction of the tendon structure in the shoulder joint and thus a functional impairment of joint mobility. It is mostly caused by degeneration or entrapment of capsular or tendon material. Degeneration or injury of the rotator cuff is the most common cause here. Symptom: Affected patients can hardly lift their arm above shoulder height due to the increasing impingement of the supraspinatus tendon. The actual impingement occurs subacromially, which is why this is called subacromial syndrome (short: SAS).
  • Omarthrosis (degenerative changes in the articular cartilage of the shoulder joint).
  • Rupture of the rotator cuff (rotator cuff rupture; tear of the rotator cuff) – partial or complete continuity interruption of tendon fibers of the above muscle group; usually due to a fall or trivial accident; pain localization: area of the deltoid muscle with pain at nightPrevalence (disease frequency) across all age groups: 5-40%; from the fiftieth year of life about 25%.
  • Shoulder pain caused by changes in the spine (vertebragen), vessels (vascular) or nerves (neurogenic).
  • Cervical disc herniation (herniated disc in the cervical spine).

Psyche – nervous system (F00-F99; G00-G99)

  • Neuritis of the brachial plexus (synonyms: plexus neuritis or neuralgic shoulder amyotrophy/muscle atrophy) – acute inflammation of the brachial plexus associated with severe pain and paralysis of the shoulder and arm muscles.