Calcific Tendinits


Calcium hydroxyappatite crystals , supraspinatus tendon 1.5-2 cm away from insertion

Investigations

 X-ray

 Ultrasound - more sensitive for diagnosis and treatment

Treatment

 Ist line - non-operative

 needling and lavage under USG guidance

 ESWL

 Surgery for symptoms progressing , absence of conservative treatment 

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