Arthroscopic Debridement of Calcium Deposits Treatment in India

Calcific tendonitis is a common disorder with the multifocal accumulation of essential calcium phosphate crystals within the rotator of the cuff tendon. Initial treatment should be non-operative, including oral anti-inflammatory drugs and physical therapy. If this is unsuccessful, the arthroscopic debridement of the deposit shall be effective. The technique is to find arthroscopically and debride without subacromial decompression. For partial, thick tears before and after calcification, the rotator manual must be assessed. If a partial or full-thick rotator cuff tendon tear is identified, it should be treated in a manner consistent with those without associated calcium deposits. The arthroscopic debridement of calcific tendonitis can produce excellent functional results and a high level of patient satisfaction.

Surgical Technique

Radiographs should be available during surgery for localization and evaluation of the deposition of calcium. Large lesions may have multiple calcium deposits. The arthroscopic debridement of calcifictendonitis can produce excellent functional results and a high level of patient satisfaction. For partial and complete tears before and after calcification the rotator cuff should be evaluated. If a partial or full-thick rotator cuff tendon tear is identified, it should be treated in a manner consistent with those without associated calcium deposits.

Calcic deposits can disappear spontaneously over several months or years. However, the lack of any positive natural progression and in the face of persistent pain, including medical treatment and physiotherapy, raises the question of the need for surgery. The objective of the operation is to relieve pain and restore joint mobility. In the case of discrete forms, the complete recovery usually takes about 3 to 6 months. The final result depends on the extent of the excision. It is considered to be satisfactory in more than 90 % of cases.

In the case of diffuse forms, complete excision is more difficult and the calcific deposits gradually disappear over time. Recovery could therefore take a little longer. However, the results of this surgery are very encouraging, as pain loss is observed in more than 85 per cent of cases and satisfactory function is recovered in more than 95 per cent of cases. These results are kept for longer than 5 per cent of the cases with tendon rupture and risk of recurrence virtually zero.

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