20Shoulder Care
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

CALCIFIC TENDONITIS

Calcific tendonitis is a condition in which calcium builds up within the rotator cuff tendon(s), causing pain. The cause of calcific tendonitis is unknown, and it is more common in middle-aged and older patients.

Symptoms

  • Sharp, intermittent shoulder pain with overhead activity
  • Pain when sleeping on the affected shoulder

Diagnosis And Treatment

Dr. Keller considers each patient’s symptoms, as well as a detailed physical examination and x-rays to make the diagnosis of calcific tendonitis. Dr. Keller may order an MRI or an ultrasound to evaluate the extent of the calcification further and to assess the integrity of the rotator cuff tendons. Most patients with calcific tendonitis can be treated successfully without surgery. Non-surgical management may include a dedicated physical therapy program and a course of anti-inflammatory medication.

Another option is “needling” of the calcium deposit. Dr. Keller or one of his colleagues performs this technique in the office. Using ultrasound guidance, a needle is directed into the calcium deposit and the deposit is broken into many pieces. The calcium slurry can then be sucked out of the shoulder using ultrasound guidance through a tiny pinhole.

In those patients who fail non-surgical management, including the “needling” technique, Dr. Keller may recommend surgical treatment. During surgery, Dr. Keller uses a minimally invasive, arthroscopic approach to remove the calcium deposit. In some patients, the rotator cuff tendon(s) is very damaged or torn due to the calcium buildup, and Dr. Keller may repair the rotator cuff in this situation.