Shoulder calcific tendonitis, also known as calcific tendinitis or calcifying tendinitis, is a condition characterised by the formation of calcium deposits within the tendons of the shoulder, particularly the rotator cuff tendons. These deposits can cause inflammation, pain, and reduced range of motion in the shoulder joint.

Conditions: Shoulder calcific tendonitis can occur in various tendons of the shoulder, including:

Supraspinatus tendon: The most commonly affected tendon, located on the top of the shoulder.

Infraspinatus tendon: Located on the back of the shoulder.

Subscapularis tendon: Located on the front of the shoulder.

Teres minor tendon: Located on the back of the shoulder.

Symptoms:

Shoulder pain, which may be mild to severe and worsen with certain movements or activities.

Stiffness and reduced range of motion in the shoulder joint.

Tenderness and swelling around the affected tendon.

Difficulty sleeping on the affected side due to pain.

Diagnosis:

Medical history, Physical examination.

Imaging studies: X-rays may reveal calcium deposits within the affected tendons.

Ultrasound or MRI can provide detailed images of the shoulder tendons and assess the extent of inflammation and calcification.

Management:

Rest and activity modification, Physical therapy, Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections.

Bursa injection: Injection of corticosteroids into the subacromial bursa to alleviate inflammation and pain.

Ultrasound-guided barbotage: A minimally invasive procedure where a needle is inserted into the calcium deposit under ultrasound guidance to break up the deposit and aspirate the fluid, providing pain relief and restoring shoulder function.

It's important to consult with a healthcare professional for proper diagnosis and personalised management of shoulder calcific tendonitis, including consideration of conservative treatments and interventional options such as injections or ultrasound-guided barbotage.