M75.30

Clinical Causes: Repeated shoulder movements or overuse, especially in activities requiring overhead motions Age-related degeneration of tendons leading to calcium deposit formation Injury or trauma to the shoulder Metabolic disorders such as diabetes or hyperparathyroidism Genetic predisposition, though less common

Key Symptoms: Sudden, severe shoulder pain, often worsening at night Limited range of motion in the affected shoulder Swelling or tenderness around the shoulder joint A sensation of catching or clicking when moving the shoulder Weakness in arm movements

Diagnosis Path: To diagnose calcific tendinitis, healthcare providers typically perform a physical examination and review the patient's medical history. Imaging tests are crucial for confirming the presence of calcium deposits, with common methods including: - X-rays: Show calcium deposits within the tendons. - Ultrasound: Visualizes calcium buildup and assesses tissue condition. - MRI: Used in complex cases to evaluate soft tissue damage and rule out other conditions. These diagnostic tools help in determining the severity and exact location of the calcifications, guiding appropriate treatment plans.

Treatment Protocols: Treatment strategies aim to reduce pain, remove calcium deposits, and restore shoulder function. Options include: - Rest and activity modification to prevent aggravation - Nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation - Physical therapy focusing on shoulder strengthening and flexibility exercises - Ultrasound-guided needle aspiration to remove calcium deposits - Barbotage, a procedure involving needling and lavage of calcium deposits - Corticosteroid injections to reduce inflammation in some cases - Surgery may be considered if conservative treatments fail, involving removal of calcium deposits or tendon repair. Rehabilitation post-treatment is essential to regain full shoulder mobility and strength.