What is a limestone tendonitis?

Creeding shoulder tendonitis is a painful condition characterized by a deposition of calcium salts in the rotational tendons. The rotary horseshoe is a group of four tendons that contribute to smooth movement and shoulder operation.

In which patients most often occur?

Although the etiology remains unknown to date, it seems that the condition is more common in women between 30-60 years and in people with some endocrinological disorders, such as hypothyroidism or diabetes mellitus. Indeed, in many cases the condition affects both shoulders.

What are the symptoms?

The condition usually occurs with sudden acute shoulder pain, with no history of injury.
The calculator tendon crisis usually lasts several days with severe pain, limitation of shoulder movements and upper extremity weakness.
In some cases, the symptoms can be made for years with the condition presenting a course with outbursts and recessions.

How is the diagnosis diagnosed?

The disease is diagnosed through a clinical examination of specialized orthopedic in shoulder diseases, in combination with simple radiographs and magnetic resonance imaging of the affected shoulder. In some cases, shoulder ultrasound may also be useful.

What is the conservative treatment of limestone tendonitis?

The first treatment is conservative and includes:
Rest, modification of activity, taking non -steroidal anti -inflammatory drugs and physiotherapy with the aim of reducing pain and recovering range of movement.

In addition, local infusions are very effective, especially if they are performed under ultrasound guidance. In these injections, either injected only anti -inflammatory and corticosteroids in the joint, or in parallel with the drug a more complex process is the “barbotage” process.

“Barbotage” is a modern, minimally invasive therapeutic technique, where with local anesthesia and ultrasound guidance, the coating of saline and injection of anti -inflammatory drugs is performed. Thanks to ultrasound guidance, Barbotage is an effective and safe process as it ensures targeted calcium removal.

What are the indications of surgical treatment?

Surgical treatment is required if conservative treatment fails or the patient has constant relapses. In addition, when there is a rupture of the tendon of the pedal, eg hypercanthus rupture or significant shoulder stiffness in the context of adhesive folliculitis.

How is the condition surgically treated?

Shoulder arthroscopy gives a definitive solution to the lime tendonitis. Arthroscopy is a minimally invasive method used by specialized orthopedic surgeons, which has been greatly developed in recent years. The surgeon, through very small holes on the skin, size of a few millimeters, places the arthroscopic camera as well as the special arthroscopic tools, and has the ability to see all the anatomical elements of the shoulder joint immediately and in magnification, to accurately remove the calculation that exist and to exist.

Arthroscopy even has many advantages. Because arthroscope and arthroscopic tools are particularly thin, very small holes on the skin are performed and the muscles and surrounding tissues are slightly injured in relation to open surgeries. In addition, the patient does not have to stay in the hospital for more than 6-8 hours and then can return home. Post -operative pain is significantly reduced and rehabilitation is rapid with the patient returning immediately to daily life and gradually to his athletic activity. The results are excellent and patients are treated with the least possible intervention, without significantly affecting their lives and functionality.