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Calcific tendinopathy of the rotator cuff

Gordana Cesarec   ORCID icon orcid.org/0000-0003-2859-5416 ; Josip Juraj Strossmayer University of Osijek, Faculty of medicine; Special hospital for medical rehabilitation Krapinske Toplice
Sunčica Martinec ; Josip Juraj Strossmayer University of Osijek, Faculty of medicine; Special hospital for medical rehabilitation Krapinske Toplice
Nikola Čičak ; University of Split, Faculty of medicine; Special hospital for orthopaedic surgery "Acromion"

Puni tekst: engleski, pdf (576 KB) str. 77-88 preuzimanja: 71* citiraj
APA 6th Edition
Cesarec, G., Martinec, S. i Čičak, N. (2021). Calcific tendinopathy of the rotator cuff. Medica Jadertina, 51 (1), 77-88. Preuzeto s https://hrcak.srce.hr/256626
MLA 8th Edition
Cesarec, Gordana, et al. "Calcific tendinopathy of the rotator cuff." Medica Jadertina, vol. 51, br. 1, 2021, str. 77-88. https://hrcak.srce.hr/256626. Citirano 17.09.2021.
Chicago 17th Edition
Cesarec, Gordana, Sunčica Martinec i Nikola Čičak. "Calcific tendinopathy of the rotator cuff." Medica Jadertina 51, br. 1 (2021): 77-88. https://hrcak.srce.hr/256626
Harvard
Cesarec, G., Martinec, S., i Čičak, N. (2021). 'Calcific tendinopathy of the rotator cuff', Medica Jadertina, 51(1), str. 77-88. Preuzeto s: https://hrcak.srce.hr/256626 (Datum pristupa: 17.09.2021.)
Vancouver
Cesarec G, Martinec S, Čičak N. Calcific tendinopathy of the rotator cuff. Medica Jadertina [Internet]. 2021 [pristupljeno 17.09.2021.];51(1):77-88. Dostupno na: https://hrcak.srce.hr/256626
IEEE
G. Cesarec, S. Martinec i N. Čičak, "Calcific tendinopathy of the rotator cuff", Medica Jadertina, vol.51, br. 1, str. 77-88, 2021. [Online]. Dostupno na: https://hrcak.srce.hr/256626. [Citirano: 17.09.2021.]

Sažetak
The calcific tendinopathy of the shoulder is characterized by the presence of macroscopic deposits of calcium hydroxyapatite in the tendons of the rotator cuff, spontaneous resorption of those deposits and, consequently, the tendon healing. The evolution of calcification is divided into 4 phases: formation of the calcium deposits, resting phase, resorption phase and post-calcific stage. The incidence of this condition is, in the general population, 8-20% with the peak of incidence at the ages between 30 and 50. The calcific tendinopathy mostly affects the tendon of the supraspinatus. It affects women more often than men and right shoulder more often than left. The bilateral presentation of calcific tendinopathy occurs from 5 to 23% of patients. Different theories about etiopathogenesis of the calcific tendinopathy were described and discussed. In recent years, there have been few publications presenting chondral metaplasia as an important mechanism. Radiological and ultrasound diagnostics are the most widely used diagnostic techniques. Magnetic resonance imaging and computed tomography are rarely used, just in clinically unclear cases. Conservative treatment includes non-steroidal anti-inflammatory drugs (NSAIDs), subacromial administration of the corticosteroids, physical therapeutic intervention, needle aspiration and lavage. In patients refractory to conservative treatment, surgical treatment, primarily arthroscopy, is indicated. Defining the stage (phase) of calcific tendinopathy determines the treatment method and prognoses the course of the disease. Precisely defining the phase enables avoiding unnecessary long-lasting physical therapy and also provides using the most effective treatment.

Ključne riječi
calcific tendinopathy; shoulder; diagnosis; treatment

Hrčak ID: 256626

URI
https://hrcak.srce.hr/256626

Posjeta: 142 *