{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T20:02:35Z","timestamp":1778097755365,"version":"3.51.4"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Traumatol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Calcific tendinitis of the shoulder has a tendon involvement that could evolve to rotator cuff tear and shoulder osteoarthritis. This study aimed to evaluate the prevalence of glenohumeral osteoarthritis and rotator cuff tears in patients affected by calcific tendinitis at a minimum follow-up of 10\u00a0years after diagnosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Patients diagnosed with calcific tendinitis of the shoulder with a minimum follow-up of 10\u00a0years were contacted and invited for a clinical and radiological evaluation. Information on the demographics, affected and dominant side, bilateral shoulder pain, type of treatment, habits, systemic or musculoskeletal diseases, reoperation of the index shoulder, and subjective satisfaction was collected. The clinical evaluation was performed using Constant\u2013Murley score (CMS), American Shoulder and Elbow Surgeons Score (ASES), and numerical rating scale (NRS); isometric strength in forwarding flexion and abduction was also measured. Each patient also underwent an ultrasound examination to evaluate rotator cuff tendon integrity and a shoulder radiograph to evaluate osteoarthritis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Seventy-nine patients were available for a phone interview, and 35 agreed to be examined. The mean age was 58.89 (\u00b1\u20097.9) years at follow-up. The prevalence of glenohumeral osteoarthritis was 17.14% in the study population, with significant progression in 14.29% of the cases, without rotator cuff full-thickness tears. x-Ray examination showed residual calcifications in 31 patients, with a mean diameter of 5.54\u00a0mm. In 30 cases, there was a reduction of the diameter; in 4 cases, the calcification increased in size; and in 1 case, the size did not change. The mean ASES score was 74.1 (\u00b1\u200922.7) in the group with calcifications larger than 2\u00a0mm and 89.4 (\u00b1\u20098.2) in patients with smaller calcifications (<jats:italic>p<\/jats:italic>\u2009=\u20090.08) without correlation with the type of treatment performed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Calcific tendinitis is a self-resolving disease without rotator cuff tears at long-term follow-up or degenerative glenohumeral progression.<\/jats:p>\n                <jats:p>Level of Evidence: 3, cohort study.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s10195-021-00604-9","type":"journal-article","created":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T11:03:22Z","timestamp":1635246202000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Long-term evolution of calcific tendinitis of the rotator cuff: clinical and radiological evaluation 10\u00a0years after diagnosis"],"prefix":"10.1186","volume":"22","author":[{"given":"Riccardo","family":"Compagnoni","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Menon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"Radaelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Lanzani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro B.","family":"Gallazzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Tassi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro S.","family":"Randelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"604_CR1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1941.02820220019004","author":"BM Bosworth","year":"1941","unstructured":"Bosworth BM (1941) Calcium deposits in the shoulder and subacromial bursitis: a survey of 12,122 shoulders. J Am Med Assoc. https:\/\/doi.org\/10.1001\/jama.1941.02820220019004","journal-title":"J Am Med Assoc"},{"issue":"1","key":"604_CR2","doi-asserted-by":"publisher","first-page":"55","DOI":"10.5312\/wjo.v7.i1.55","volume":"7","author":"MT ElShewy","year":"2016","unstructured":"ElShewy MT (2016) Calcific tendinitis of the rotator cuff. World J Orthop. 7(1):55","journal-title":"World J Orthop."},{"key":"604_CR3","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199707000-00001","author":"HK Uhthoff","year":"1997","unstructured":"Uhthoff HK, Loehr JW (1997) Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management. J Am Acad Orthop Surg. https:\/\/doi.org\/10.5435\/00124635-199707000-00001","journal-title":"J Am Acad Orthop Surg"},{"key":"604_CR4","doi-asserted-by":"publisher","DOI":"10.1016\/j.rco.2008.09.010","author":"P Clavert","year":"2008","unstructured":"Clavert P, Sirveaux F (2008) Shoulder calcifying tendinitis. Rev Chir Orthop Reparatrice Appar Mot. https:\/\/doi.org\/10.1016\/j.rco.2008.09.010","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"604_CR5","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-3579(89)80009-3","author":"HK Uhthoff","year":"1989","unstructured":"Uhthoff HK, Sarkar K (1989) Calcifying tendinitis. Baillieres Clin Rheumatol. https:\/\/doi.org\/10.1016\/S0950-3579(89)80009-3","journal-title":"Baillieres Clin Rheumatol"},{"key":"604_CR6","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199905203402011","author":"CA Speed","year":"1999","unstructured":"Speed CA, Hazleman BL (1999) Calcific tendinitis of the shoulder. N Engl J Med. https:\/\/doi.org\/10.1056\/nejm199905203402011","journal-title":"N Engl J Med"},{"issue":"1","key":"604_CR7","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1007\/s10195-015-0367-6","volume":"17","author":"G Merolla","year":"2016","unstructured":"Merolla G, Singh S, Paladini P, Porcellini G (2016) Calcific tendinitis of the rotator cuff: state of the art in diagnosis and treatment. J Orthop Traumatol. 17(1):7\u201314","journal-title":"J Orthop Traumatol."},{"key":"604_CR8","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.126614","author":"W Daecke","year":"2002","unstructured":"Daecke W, Kusnierczak D, Loew M (2002) Long-term effects of extracorporeal shockwave therapy in chronic calcific tendinitis of the shoulder. J Shoulder Elb Surg. https:\/\/doi.org\/10.1067\/mse.2002.126614","journal-title":"J Shoulder Elb Surg"},{"key":"604_CR9","doi-asserted-by":"publisher","DOI":"10.7326\/M13-1982","author":"RR Bannuru","year":"2014","unstructured":"Bannuru RR, Flavin NE, Vaysbrot E et\u00a0al (2014) High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review. Ann Intern Med. https:\/\/doi.org\/10.7326\/M13-1982","journal-title":"Ann Intern Med"},{"issue":"2","key":"604_CR10","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1007\/s00256-001-0472-x","volume":"32","author":"M Gotoh","year":"2003","unstructured":"Gotoh M, Higuchi F, Suzuki R, Yamanaka K (2003) Progression from calcifying tendinitis to rotator cuff tear. Skeletal Radiol. 32(2):86\u20139","journal-title":"Skeletal Radiol."},{"key":"604_CR11","doi-asserted-by":"publisher","DOI":"10.1007\/BF00206150","author":"YF Jim","year":"1993","unstructured":"Jim YF, Hsu HC, Chang CY et\u00a0al (1993) Coexistence of calcific tendinitis and rotator cuff tear: an arthrographic study. Skeletal Radiol. https:\/\/doi.org\/10.1007\/BF00206150","journal-title":"Skeletal Radiol"},{"issue":"7","key":"604_CR12","first-page":"532","volume":"79","author":"D Mol\u00e9","year":"1993","unstructured":"Mol\u00e9 D, Kempf JF, Gleyze P, Rio B, Bonnomet FWG (1993) Results of endoscopic treatment of non-broken tendinopathies of the rotator cuff. 2. Calcifications of the rotator cuff. Rev Chir Orthop Reparatrice Appar Mot 79(7):532","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"604_CR13","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511430202","author":"M Balke","year":"2012","unstructured":"Balke M, Bielefeld R, Schmidt C et\u00a0al (2012) Calcifying tendinitis of the shoulder: midterm results after arthroscopic treatment. Am J Sports Med. https:\/\/doi.org\/10.1177\/0363546511430202","journal-title":"Am J Sports Med"},{"key":"604_CR14","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513487066","author":"PB De Witte","year":"2013","unstructured":"De Witte PB, Selten JW, Navas A et\u00a0al (2013) Calcific tendinitis of the rotator cuff: a randomized controlled trial of ultrasound-guided needling and lavage versus subacromial corticosteroids. Am J Sports Med. https:\/\/doi.org\/10.1177\/0363546513487066","journal-title":"Am J Sports Med"},{"key":"604_CR15","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20150407","author":"A Bazzocchi","year":"2016","unstructured":"Bazzocchi A, Pelotti P, Serraino S et\u00a0al (2016) Ultrasound imaging-guided percutaneous treatment of rotator cuff calcific tendinitis: success in short-term outcome. Br J Radiol. https:\/\/doi.org\/10.1259\/bjr.20150407","journal-title":"Br J Radiol"},{"issue":"4","key":"604_CR16","first-page":"319","volume":"89","author":"S Galletti","year":"2004","unstructured":"Galletti S, Magnani M, Rotini R et\u00a0al (2004) The echo-guided treatment of calcific tendinitis of the shoulder. Chir Organi Mov. 89(4):319\u201323","journal-title":"Chir Organi Mov."},{"key":"604_CR17","doi-asserted-by":"publisher","DOI":"10.11138\/jts\/2015.3.4.166","author":"A Castagna","year":"2015","unstructured":"Castagna A, de Giorgi S, Garofalo R et\u00a0al (2015) Calcifying tendinitis of the shoulder: arthroscopic needling versus complete calcium removal and rotator cuff repair. A prospective comparative study. Joints. https:\/\/doi.org\/10.11138\/jts\/2015.3.4.166","journal-title":"Joints"},{"key":"604_CR18","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-016-4224-7","author":"PB de Witte","year":"2016","unstructured":"de Witte PB, van Adrichem RA, Selten JW et\u00a0al (2016) Radiological and clinical predictors of long-term outcome in rotator cuff calcific tendinitis. Eur Radiol. https:\/\/doi.org\/10.1007\/s00330-016-4224-7","journal-title":"Eur Radiol"},{"key":"604_CR19","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517721686","author":"PB de Witte","year":"2017","unstructured":"de Witte PB, Kolk A, Overes F et\u00a0al (2017) Rotator cuff calcific tendinitis: ultrasound-guided needling and lavage versus subacromial corticosteroids: five-year outcomes of a randomized controlled trial. Am J Sports Med. https:\/\/doi.org\/10.1177\/0363546517721686","journal-title":"Am J Sports Med"},{"key":"604_CR20","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2521081816","author":"G Serafini","year":"2009","unstructured":"Serafini G, Sconfienza LM, Lacelli F et\u00a0al (2009) Rotator cuff calcific tendonitis: short-term and 10-year outcomes after two-needle US-guided percutaneous treatment - nonrandomized controlled trial1. Radiology. https:\/\/doi.org\/10.1148\/radiol.2521081816","journal-title":"Radiology"},{"key":"604_CR21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.08.016","author":"JM McLean","year":"2018","unstructured":"McLean JM, Awwad D, Lisle R et\u00a0al (2018) An international, multicenter cohort study comparing 6 shoulder clinical scores in an asymptomatic population. J Shoulder Elb Surg. https:\/\/doi.org\/10.1016\/j.jse.2017.08.016","journal-title":"J Shoulder Elb Surg"},{"key":"604_CR22","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-010-0064-9","author":"R Padua","year":"2010","unstructured":"Padua R, Padua L, Ceccarelli E et\u00a0al (2010) Italian version of ASES questionnaire for shoulder assessment: cross-cultural adaptation and validation. Musculoskelet Surg. https:\/\/doi.org\/10.1007\/s12306-010-0064-9","journal-title":"Musculoskelet Surg"},{"key":"604_CR23","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20543","author":"GA Hawker","year":"2011","unstructured":"Hawker GA, Mian S, Kendzerska T, French M (2011) Measures of adult pain: visual analog scale for pain (VAS pain), numeric rating scale for pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF. Arthritis Care Res. https:\/\/doi.org\/10.1002\/acr.20543","journal-title":"Arthritis Care Res"},{"key":"604_CR24","doi-asserted-by":"publisher","DOI":"10.11138\/mltj\/2014.4.3.391","author":"H Hinsley","year":"2014","unstructured":"Hinsley H, Nicholls A, Daines M et\u00a0al (2014) Classification of rotator cuff tendinopathy using high definition ultrasound. Muscles Ligaments Tendons J. https:\/\/doi.org\/10.11138\/mltj\/2014.4.3.391","journal-title":"Muscles Ligaments Tendons J"},{"key":"604_CR25","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365040-00005","author":"RL Samilson","year":"1983","unstructured":"Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Jt Surg Ser A. https:\/\/doi.org\/10.2106\/00004623-198365040-00005","journal-title":"J Bone Jt Surg Ser A"},{"key":"604_CR26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.11.031","author":"T Kobayashi","year":"2014","unstructured":"Kobayashi T, Takagishi K, Shitara H et\u00a0al (2014) Prevalence of and risk factors for shoulder osteoarthritis in Japanese middle-aged and elderly populations. J Shoulder Elb Surg. https:\/\/doi.org\/10.1016\/j.jse.2013.11.031","journal-title":"J Shoulder Elb Surg"},{"key":"604_CR27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.04.001","author":"G Porcellini","year":"2004","unstructured":"Porcellini G, Paladini P, Campi F, Paganelli M (2004) Arthroscopic treatment of calcifying tendinitis of the shoulder: clinical and ultrasonographic follow-up findings at two to five years. J Shoulder Elb Surg. https:\/\/doi.org\/10.1016\/j.jse.2004.04.001","journal-title":"J Shoulder Elb Surg"},{"key":"604_CR28","doi-asserted-by":"publisher","DOI":"10.1136\/ard.48.3.211","author":"ME Mavrikakis","year":"1989","unstructured":"Mavrikakis ME, Drimis S, Kontoyannis DA et\u00a0al (1989) Calcific shoulder periarthritis (tendinitis) in adult onset diabetes mellitus: a controlled study. Ann Rheum Dis. https:\/\/doi.org\/10.1136\/ard.48.3.211","journal-title":"Ann Rheum Dis"},{"key":"604_CR29","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0039.1987.tb01571.x","author":"DPS Sengar","year":"1987","unstructured":"Sengar DPS, McKendry RJ, Uhthoff HK (1987) Increased frequency of HLA-A1 in calcifying tendinitis. Tissue Antigens. https:\/\/doi.org\/10.1111\/j.1399-0039.1987.tb01571.x","journal-title":"Tissue Antigens"},{"key":"604_CR30","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2015.07.030","author":"BW Oudelaar","year":"2015","unstructured":"Oudelaar BW, Ooms EM, Huis In\u2019t Veld RMHA, et\u00a0al (2015) Smoking and morphology of calcific deposits affect the outcome of needle aspiration of calcific deposits (NACD) for calcific tendinitis of the rotator cuff. Eur J Radiol. https:\/\/doi.org\/10.1016\/j.ejrad.2015.07.030","journal-title":"Eur J Radiol"}],"container-title":["Journal of Orthopaedics and Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s10195-021-00604-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s10195-021-00604-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s10195-021-00604-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T23:06:17Z","timestamp":1635289577000},"score":1,"resource":{"primary":{"URL":"https:\/\/jorthoptraumatol.springeropen.com\/articles\/10.1186\/s10195-021-00604-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,26]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["604"],"URL":"https:\/\/doi.org\/10.1186\/s10195-021-00604-9","relation":{},"ISSN":["1590-9921","1590-9999"],"issn-type":[{"value":"1590-9921","type":"print"},{"value":"1590-9999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,26]]},"assertion":[{"value":"10 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 September 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 October 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study protocol was approved by the Regional Ethical Committee (authorization number: Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico-Milano Area 2, Lombardia, Milan; 512\/2017, October 31, 2017).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All patients involved in the study have read, understood, and signed the informed consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"All the authors, except for Pietro Randelli, have no conflict of interest. Pietro Randelli is consultant for Depuy, Arthrex, Microport, and Medacta.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"42"}}