Injuries to the tendons of the rotator cuff of the shoulder are a common problem that causes significant pain and limited mobility. The presence of calcifications defines calcifying tendinitis, a type of tendinopathy. The treatment of these types of problems is initially non-surgical, with anti-inflammatory and rehabilitation. In cases resistant to initial treatment, arthroscopic surgery may be indicated. In an interesting study published recently, the efficacy of bursa resection (membrane lining the tendons) and the removal of calcification in cases of calcifying tendinitis have been demonstrated. It has been assessed in this study if the performance of a subacromial decompression (milling of the bone that can close the space through which the tendons of the rotator cuff run to expand said space) brings some benefit. The conclusion is that the result is comparable by doing or not doing such decompression.
References Referencias Clement ND, Watts AC, Phillips C, et al. Short-Term Outcome After Arthroscopic Bursectomy Debridement of Rotator Cuff Calcific Tendonopathy With and Without Subacromial Decompression: A Prospective Randomized Controlled Trial. Arthroscopy. 2015 Jul 15.