The Complete Guide to Calcific Tendonitis

Welcome back to the channel. Today we are doing a high-yield review of calcific tendonitis, breaking down the pathophysiology, clinical presentation, and evidence-based management strategies. Calcific tendonitis is defined by calcification and tendon degeneration near the rotator cuff insertion, which most commonly leads to shoulder pain with a decreased range of motion. Diagnosis is typically made radiographically, with orthogonal radiographs of the shoulder showing calcium deposits overlying the rotator cuff insertion. Initial treatment consists of a course of NSAIDs, physical therapy, corticosteroid injections, and ultrasound-guided needle lavage. Arthroscopic decompression of the calcium deposit is indicated for patients with progressive symptoms who have failed these conservative measures.