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Published in: BMC Medical Imaging 1/2022

Open Access 01-12-2022 | Magnetic Resonance Imaging | Research

Magnetic resonance imaging evaluation of the correlation between calcific tendinitis and rotator cuff injury

Authors: Xiao-Kun Yu, Jian Li, Le Zhang, Lei Li, Jin-Xing Li, Wen-Bin Guo

Published in: BMC Medical Imaging | Issue 1/2022

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Abstract

Background

This study aims to evaluate the incidence of calcific tendinitis (CaT) in rotator cuff tears (RCTs) and to assess the correlation between CaT and RCTs with magnetic resonance imaging (MRI).

Methods

The MRI of 108 patients with rotator cuff CaT admitted to our hospital from January 2019 to January 2021 were retrospectively analyzed. Another retrospective analysis was made of 108 patients with similar age, gender, occupation, and shoulder injury side to those in the first group. The incidence of RCTs and their correlation with CaT were assessed based on an MRI of shoulder joints.

Results

There was a statistical difference (p < 0.05) in the incidence of RCTs between the CaT group (23.4%) and the control group (37.2%). No significant difference was observed in the size of the RCTs between the two groups (P = 0.422). In the CaT group, 17.4% of patients had complete tears, compared with 26.3% in the control group. There was no significant correlation between the calcification site and RCTs in the CaT group, and only 3.7% of patients suffered calcification and a tear in the exact location of the same tendon (P > 0.05, r = 0.03).

Conclusions

Compared with patients with shoulder pain without CaT, patients with rotator cuff CaT suffered no increased risk of RCTs on MRI, so CaT and RCTs may have different pathological causes, and there is no significant correlation between the two.
Literature
1.
go back to reference Graham P. Calcific tendinitis of the shoulder. Orthop Nurs. 2017;36(6):439–41.CrossRef Graham P. Calcific tendinitis of the shoulder. Orthop Nurs. 2017;36(6):439–41.CrossRef
2.
go back to reference Umamahesvaran B, Sambandam SN, Mounasamy V, et al. Calcifying tendinitis of shoulder: a concise review. J Orthop. 2018;15(3):776–82.CrossRef Umamahesvaran B, Sambandam SN, Mounasamy V, et al. Calcifying tendinitis of shoulder: a concise review.  J Orthop. 2018;15(3):776–82.CrossRef
3.
go back to reference Tsuchiya S, Davison EM, Rashid MS, et al. Determining the rate of full-thickness progression in partial-thickness rotator cuff tears: a systematic review. Shoulder Elbow Surg. 2021;30(2):449–55.CrossRef Tsuchiya S, Davison EM, Rashid MS, et al. Determining the rate of full-thickness progression in partial-thickness rotator cuff tears: a systematic review. Shoulder Elbow Surg. 2021;30(2):449–55.CrossRef
4.
go back to reference Taha ESM. Calcific tendinitis of the rotator cuff. World J Orthop. 2016;7(1):55–7.CrossRef Taha ESM. Calcific tendinitis of the rotator cuff. World J Orthop. 2016;7(1):55–7.CrossRef
5.
go back to reference Ari C, Greis,Stephen M, et al. Evaluation and nonsurgicalmanagement of rotator cuff calcific tendinopathy. Orthopedicclin N Am. 2015;46(2):293–302. Ari C, Greis,Stephen M, et al. Evaluation and nonsurgicalmanagement of rotator cuff calcific tendinopathy. Orthopedicclin N Am. 2015;46(2):293–302.
6.
go back to reference Arirachakaran A, Boonard M, Yamaphai S, et al. Extracorporeal shock wave therapy, ltrasound-guided percutaneous lavage, corticosteroid injection and combined treatment for the treatment of rotator cuff calcific tendinopathy: a network meta-analysis of RCTs. Eur J Orthop Surg Traumatol. 2017;27(3):381–90.CrossRef Arirachakaran A, Boonard M, Yamaphai S, et al. Extracorporeal shock wave therapy, ltrasound-guided percutaneous lavage, corticosteroid injection and combined treatment for the treatment of rotator cuff calcific tendinopathy: a network meta-analysis of RCTs. Eur J Orthop Surg Traumatol. 2017;27(3):381–90.CrossRef
7.
go back to reference Thigpen CA, Shaffer MA, Gaunt B, et al. The American Society of Shoulder and Elbow Therapists’ consensus statement on rehabilitation following arthroscopic rotator cuff repair. Shoulder Elbow Surg. 2016;25(4):521–35.CrossRef Thigpen CA, Shaffer MA, Gaunt B, et al. The American Society of Shoulder and Elbow Therapists’ consensus statement on rehabilitation following arthroscopic rotator cuff repair. Shoulder Elbow Surg. 2016;25(4):521–35.CrossRef
8.
go back to reference Verstraelen FU, Fievez E, Janssen L, et al. Surgery for calcifying tendinitis of the shoulder: a systematic review. World J Orthop. 2017;8(5):424–30.CrossRef Verstraelen FU, Fievez E, Janssen L, et al. Surgery for calcifying tendinitis of the shoulder: a systematic review. World J Orthop. 2017;8(5):424–30.CrossRef
9.
go back to reference Clavert P, Le Coniat Y, Kempf JF, et al. Intratendinous rupture of the supraspinatus: anatomical and functional results of 24 operative cases. Eur J Orthop Surg Traumatol. 2016;26(2):133–8.CrossRef Clavert P, Le Coniat Y, Kempf JF, et al. Intratendinous rupture of the supraspinatus: anatomical and functional results of 24 operative cases. Eur J Orthop Surg Traumatol. 2016;26(2):133–8.CrossRef
10.
go back to reference Becciolini M, Bonacchi G, Galletti S. Intramuscular migration of calcific tendinopathy in the rotator cuff: ultrasound appearance and a review of the literature. Ultrasound. 2016;19(3):175–81.CrossRef Becciolini M, Bonacchi G, Galletti S. Intramuscular migration of calcific tendinopathy in the rotator cuff: ultrasound appearance and a review of the literature. Ultrasound. 2016;19(3):175–81.CrossRef
11.
go back to reference Beckmann NM, Tran MQ, Chunyan C. Incidence of rotator cuff tears in the setting of calcifictendinopathy on MRI: a case controlled comparison. Skelet Radiol. 2018;48:1–6. Beckmann NM, Tran MQ, Chunyan C. Incidence of rotator cuff tears in the setting of calcifictendinopathy on MRI: a case controlled comparison. Skelet Radiol. 2018;48:1–6.
12.
go back to reference Merolla Giovanni, Singh Sanjay, Paladini Paolo, et al. Calcific tendinitis of the rotator cuff: stateof the art in diagnosis and treatment. J Orthop Traumatol. 2016;17(1):7–14.CrossRef Merolla Giovanni, Singh Sanjay, Paladini Paolo, et al. Calcific tendinitis of the rotator cuff: stateof the art in diagnosis and treatment. J Orthop Traumatol. 2016;17(1):7–14.CrossRef
13.
go back to reference Cai DX, Tan HB, Yang J, Xu YQ. Progress in the course, staging and treatment of rotator cuff calcified tendinitis. Chin J Shoulder Elbow. 2014;2014(4):248–50. Cai DX, Tan HB, Yang J, Xu YQ. Progress in the course, staging and treatment of rotator cuff calcified tendinitis. Chin J Shoulder Elbow. 2014;2014(4):248–50.
14.
go back to reference Xue XH, Feng ZH, Li ZX, et al. Calcifying tendinitis of the long head of the biceps brachii and superior labrum: a report of one case and literature review. Sports Med Phys Fit. 2018;58(7–8):1090–5. Xue XH, Feng ZH, Li ZX, et al. Calcifying tendinitis of the long head of the biceps brachii and superior labrum: a report of one case and literature review. Sports Med Phys Fit. 2018;58(7–8):1090–5.
15.
go back to reference Cesarec G, Martinec S, Čičak N. Calcific endinopathy: calcium deposit morphology directly affects pain and function of the shoulder. Acta Clin Croat. 2020;59(2):270–6.PubMedPubMedCentral Cesarec G, Martinec S, Čičak N. Calcific endinopathy: calcium deposit morphology directly affects pain and function of the shoulder. Acta Clin Croat. 2020;59(2):270–6.PubMedPubMedCentral
16.
go back to reference Brinkman JC, Zaw TM, Fox MG, et al. Calcific tendonitis of the shoulder: protector or predictor of cuff pathology? A magnetic resonance imaging-based study. Arthroscopy. 2020;36(4):983–90.CrossRef Brinkman JC, Zaw TM, Fox MG, et al. Calcific tendonitis of the shoulder: protector or predictor of cuff pathology? A magnetic resonance imaging-based study. Arthroscopy. 2020;36(4):983–90.CrossRef
17.
go back to reference Vijen S, Hawes C, Runions J, et al. Differences in intracellular localisation of ANKH mutants that relate to mechanisms of calcium pyrophosphate deposition disease and craniometaphyseal dysplasia. Sci Rep. 2020;10(1):7408.CrossRef Vijen S, Hawes C, Runions J, et al. Differences in intracellular localisation of ANKH mutants that relate to mechanisms of calcium pyrophosphate deposition disease and craniometaphyseal dysplasia. Sci Rep. 2020;10(1):7408.CrossRef
18.
go back to reference Sigg A, Draws D, Stamm A, et al. Perioperative ultrasound-guided wire marking of calcific deposits in calcifying tendinitis of the rotator cuff. Arch Orthop Trauma Surg. 2011;131(3):353–5.CrossRef Sigg A, Draws D, Stamm A, et al. Perioperative ultrasound-guided wire marking of calcific deposits in calcifying tendinitis of the rotator cuff. Arch Orthop Trauma Surg. 2011;131(3):353–5.CrossRef
19.
go back to reference Freyschmidt J, Seyffert C, Sternberg A. Calcifying tendinitis with osseous involvement: a diagnostic challenge. Radiologe. 2020;60(11):1069–76.CrossRef Freyschmidt J, Seyffert C, Sternberg A. Calcifying tendinitis with osseous involvement: a diagnostic challenge. Radiologe. 2020;60(11):1069–76.CrossRef
20.
go back to reference Paul S, Yadav AK, Goyal T. Comparison of tear characteristics, outcome parameters and healing in traumatic and non-traumatic rotator cuff tear: a prospective cohort study. Musculoskelet Surg. 2021;8(10):1007. Paul S, Yadav AK, Goyal T. Comparison of tear characteristics, outcome parameters and healing in traumatic and non-traumatic rotator cuff tear: a prospective cohort study. Musculoskelet Surg. 2021;8(10):1007.
21.
go back to reference Viswanath A, Monga P. Trends in rotator cuff surgery: research through the decades. J Clin Orthop Trauma. 2021;19(18):105–13.CrossRef Viswanath A, Monga P. Trends in rotator cuff surgery: research through the decades. J Clin Orthop Trauma. 2021;19(18):105–13.CrossRef
22.
go back to reference Youn KH, Cho TH, Kwon HJ, et al. A detailed analysis of the blood supply to the subscapularis muscle. Clin Anat. 2019;32(5):642–7.CrossRef Youn KH, Cho TH, Kwon HJ, et al. A detailed analysis of the blood supply to the subscapularis muscle. Clin Anat. 2019;32(5):642–7.CrossRef
23.
go back to reference Chianca V, Albano D, Messina C, et al. Rotator cuff calcific tendinopathy: from diagnosis to treatment. Acta Biomed. 2018;19(89):186–196. Chianca V, Albano D, Messina C, et al. Rotator cuff calcific tendinopathy: from diagnosis to treatment. Acta Biomed. 2018;19(89):186–196.
24.
go back to reference Draghi F, Cocco G, Lomoro P, et al. Non-rotator cuff calcific tendinopathy: ultrasonographic diagnosis and treatment. J Ultrasound. 2020;23(3):301–15.CrossRef Draghi F, Cocco G, Lomoro P, et al. Non-rotator cuff calcific tendinopathy: ultrasonographic diagnosis and treatment. J Ultrasound. 2020;23(3):301–15.CrossRef
25.
go back to reference Merolla G, Dave AC, Paladini P, et al. Ossifying tendinitis of the rotator cuff after arthroscopic excision of calcium deposits: report of two cases and literature review. Orthop Traumatol. 2015;16(1):67–73. Merolla G, Dave AC, Paladini P, et al. Ossifying tendinitis of the rotator cuff after arthroscopic excision of calcium deposits: report of two cases and literature review. Orthop Traumatol. 2015;16(1):67–73.
26.
go back to reference Sucuoğlu H, Asan A. Relationship between calcific tendinopathy and rotator cuff tear on shoulder magnetic resonance imaging: case-controlled comparison. Pol J Radiol. 2020;85(8):e8–13.PubMedPubMedCentral Sucuoğlu H, Asan A. Relationship between calcific tendinopathy and rotator cuff tear on shoulder magnetic resonance imaging: case-controlled comparison. Pol J Radiol. 2020;85(8):e8–13.PubMedPubMedCentral
27.
go back to reference Norenberg D, Ebersberger HU, Walter T, et al. Diagnosis of calcific tendonitis of the rotator cuff by using susceptibility-weighted MR imaging. Radiology. 2015;278:475.CrossRef Norenberg D, Ebersberger HU, Walter T, et al. Diagnosis of calcific tendonitis of the rotator cuff by using susceptibility-weighted MR imaging. Radiology. 2015;278:475.CrossRef
Metadata
Title
Magnetic resonance imaging evaluation of the correlation between calcific tendinitis and rotator cuff injury
Authors
Xiao-Kun Yu
Jian Li
Le Zhang
Lei Li
Jin-Xing Li
Wen-Bin Guo
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Medical Imaging / Issue 1/2022
Electronic ISSN: 1471-2342
DOI
https://doi.org/10.1186/s12880-022-00746-0

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