Where does a tendinosis calcarea still occur?
The tendinosis calcarea occurs most frequently in the shoulder region. The tendon of the supraspinatus muscle is usually affected. However, it can occur in all tendons of the body.
For example, the other tendons that hold the different muscles of the shoulder may also be affected. In addition, tendinosis calcarea occurs in the knee region. The kneecap is held by various tendons and ligaments.
In daily life, these tendons and ligaments are often exposed to heavy strain and are therefore susceptible to diseases associated with wear and tear. The tendons of the patella can also be affected by tendinosis calcarea. Also the Achilles tendon, which is located above the heel, is stressed with every step.
Wear and tear processes occur at this point, particularly in the case of malpositioning of the foot or legs, poor footwear or incorrect gait habits. Tensile and compressive stress can also damage the Achilles tendon and in turn lead to tendinosis calcarea. Furthermore, tendons pulling from the outer side of the thigh bone to the hip can also be affected. In rare cases, tendinosis calcarea occurs in tendons that run along the side or behind the elbow.
Prognosis
In principle, tendinosis calcarea often heals spontaneously after the above mentioned phases, even without treatment. Nevertheless, very severe symptoms often occur, especially due to accompanying bursitis, so that supportive therapy is advisable in any case. The exact course of the disease cannot be predicted, so it can be difficult to decide on a specific therapy. Since the individual phases of the disease can last several years and repeatedly lead to more or less severe pain, many patients do not want to wait until the calcifications dissolve on their own. Through targeted consultation and adequate imaging, the therapy should be adapted to the patient’s stage of the disease.
Diagnosis
Once calcification has occurred, it can be detected by ultrasound. The calcification leads to a sound cancellation behind it, which can be detected. An advantage of the ultrasound examination is the determination of the exact position of the calcific deposit, which can make it easier to locate the calcific focus when planning the operation.
Typical for tendinosis calcarea is that the calcification is located centrally in the tendon and not above or below it. This is important to know in order not to confuse the tendinosis calcarea with possible other diseases. As soon as calcification has occurred, it can be detected on the X-ray image.
The calcifications are usually very clearly visible. However, there are limitations with regard to the exact location of the calcification, because images from different angles must be available in order to be able to locate all calcifications reliably. For the diagnosis of tendinosis calcarea, MRI is not relevant. The calcification is poorly represented, which makes it easy to confuse it with a rotator cuff lesion (rotator cuff tearsDegneration of the tendons of the rotator cuff).
- Acromion (shoulder roof)
- Lime hearth
- Humeral head (humerus)
- Shoulder socket (Cavum glenoidale)
