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Calcific Tendonitis
Description
A buildup of calcium develops in the muscles that move the shoulder. This causes pain and inflammation.
Common Causes
Repetitive overhead use of the arm, frequent lifting: tennis, hammering, gardening, weightlifting; occasionally there is a history of trauma to the shoulder.
Symptoms
Pain in the shoulder or down the side of the arm. Pain with lifting the arm overhead, or sleeping on the injured side.
Physical Findings
Tenderness, positive 'impingement test'.
Workup
X-Rays, physical examination, MRI (rarely).
Non-Operative Treatment
Rest, anti-inflammatory medication, physical therapy. Possibly a trial of a corticosteroid injection.
Surgical Treatment
Shoulder arthroscopy, with removal of the calcific deposit.
Comments
Many cases will resolve with non-operative care. Arthroscopy is highly successful, with an early return to activities, and extremely low risk of recurrence. Prolonged or worsening symptoms may be signs of a rotator cuff tear.
Related Information
Shoulder1.com
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Shoulder Injuries
