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This article has been peer reviewed. It is the authors' final version prior to publication in Orthopedic Clinics of North America, Volume 46, Issue 2, April 2015, Pages 293-302.

The published version is available at DOI: 10.1016/j.ocl.2014.11.011. Copyright © W.B. Saunders


Rotator cuff calcific tendinopathy is a common finding that accounts for about 7% of patients with shoulder pain. There are numerous theories on the pathogenesis of rotator cuff calcific tendinopathy. The diagnosis is confirmed with radiography, MRI or ultrasound. There are numerous conservative treatment options available and most patients can be managed successfully without surgical intervention. Nonsteroidal anti-inflammatory drugs and multiple modalities are often used to manage pain and inflammation; physical therapy can help improve scapular mechanics and decrease dynamic impingement; ultrasound-guided needle aspiration and lavage techniques can provide long-term improvement in pain and function in these patients.

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