Calcific Tendinitis of the Shoulder
 

Postoperative Program

1) Postoperative restrictions are based on the degree of rotator cuff involvement. If the calcium demonstrated “tooth paste” consistency and could be massaged and extruded from the tendon without significant loss of tendon tissue, the shoulder can be mobilized without sling or restriction.

2) If rotator cuff tendon loss from excision of calcium treated with rotator cuff repair necessitates protection. Three weeks with a shoulder immobilizer with gentle passive range of motion and Codman’s exercises followed by gradual mobilization, depending on the magnitude of cuff repair, is indicated.

3) Arthroscopic subacromial decompression and/or Mumford distal clavicle excision require no immobilization. Progressive activity, as tolerated.

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7/8/2006

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