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Calcific Tendonitis
Posted: Feb 25 2026

The Complete Guide to Calcific Tendonitis

Video Description

Welcome back to the channel. Today we are doing a high-yield review of calcific tendonitis, breaking down the pathophysiology, clinical presentation, and evidence-based management strategies.
Calcific tendonitis is defined by calcification and tendon degeneration near the rotator cuff insertion, which most commonly leads to shoulder pain with a decreased range of motion. Diagnosis is typically made radiographically, with orthogonal radiographs of the shoulder showing calcium deposits overlying the rotator cuff insertion. Initial treatment consists of a course of NSAIDs, physical therapy, corticosteroid injections, and ultrasound-guided needle lavage. Arthroscopic decompression of the calcium deposit is indicated for patients with progressive symptoms who have failed these conservative measures.

1) A 45-year-old female with a history of hypothyroidism presents to your clinic reporting acute, severe atraumatic shoulder pain that has progressively worsened over the last 48 hours. Physical exam reveals significant pain-limited range of motion and positive subacromial impingement signs. Radiographs demonstrate a calcific deposit near the supraspinatus insertion that appears cloudy and translucent without clear circumscription (Gartner Type III). Based on the natural history and pathophysiology outlined in the review, which stage of calcific tendonitis is this patient most likely experiencing?
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