Calcific Tendinitis of the Shoulder
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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