Case Reports in Orthopedics
Volume 2012 (2012), Article ID 806769, 4 pages
Calcific Tendonitis of the Rotator Cuff: An Unusual Case
1Department of Orthopedic Surgery, Kurume University Medical Center, 155 Kokubu-machi, Kurume, Fukuoka 839-0863, Japan
2Department of Orthopedic Surgery, Kurume University, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan
Received 14 December 2011; Accepted 29 January 2012
Academic Editors: G. Erkula and H. J. Siegel
Copyright © 2012 Yasuhiro Mitsui et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Few case reports have described the surgical treatment of calcifying tendonitis of the subscapularis tendon. We present a case of symptomatic diffuse calcifying tendonitis involving the subscapularis and infraspinatus insertions that was difficult to detect arthroscopically. The patient was treated with arthroscopic incision of the tendinous insertions thorough removal of the calcific deposits and subsequent repair using a suture-anchor technique. Two years after the surgical procedure, the patient was completely pain-free and attained full range of motion. Radiographic evaluation performed 2 years after the procedure revealed no calcific deposits. We conclude that the combination of incision of the subscapularis and infraspinatus insertions, complete removal of the calcific deposits, and subsequent suture-anchor repair in an all-arthroscopic manner can lead to an excellent clinical outcome without compromising the functional integrity of the rotator cuff tendons.