CALCIFYING TENDINITIS OF ROTATOR CUFF

Kalcificirajući tendinitis mišića rotatorne manšete ramena donekle je česta bolest. Cilj je preglednog rada razjasniti osnovne patogenetske mehanizme, dijagnostiku i principe liječenja. Ovaj posebni entitet nije posljedica distrofične kalcifikacije degeneriranih tetivnih vlakana nego stanično posredovan reaktivni proces. U stvarnosti nakon stvaranja depozita i faze mirovanja slijedi resorpcija i potpuno cijeljenje tetive. Liječenje je konzervativno, a kirurško tek iznimno i to u fazi kada je rendgenološki depozit jasno ograničen i homogen, bez znakova resorpcije. Ako su vidljivi znaci resorpcije, indicirane su samo mjere konzervativnog liječenja i bolest završava potpunom resorpcijom kalcifikata i cijeljenjem.Calcifiying tendinitis of rotator cuff is a relatively common occurence. The aim of this review is to clarify basic pathogenic mechanisms, diagnostic and therapy principles. This entity is not due to dystrophic calcification of the degenerative tendinous tissue but due to a cell mediated reactive process. In fact, following the formation of a deposit, resorption usually ensues, which in turn will be followed by a tendon reconstitution. If patent conservative measures fail, surgery should only be contemplated in the presence of radiologically dense, homogenous and well delineated deposits which indicate that the resorptive activity has not set in. If, on the other hand, there is evidence of an ongoing resorption, the decision for surgery should be postponed since the natural resorption will occur