Department of Rehabilitation Medicine, Gervasutta Hospital, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
IRCCS Istituto Ortopedico Rizzoli, Bologna Italy
Curr Med Imaging. 2024;20:e100423215585. doi: 10.2174/1573405620666230410091749.
Calcific tendinopathy is a common cause of painful shoulder easily identified with ultrasound or conventional radiography. Although the rotator cuff is by far the most common location of the disease and diagnostic or treatment strategies are well known in clinical practice, a lack of awareness characterizes the assessment of the other sites affected by this condition; consequently, the risk of underestimating the prevalence of atypical non-rotator cuff calcific tendinopathy is high. This may lead to expensive or invasive diagnostic exams and/or inappropriate treatment, whereas the condition is usually self-limited. The present study aims at analysing the frequency of calcific tendinitis in uncommon sites, in order to fill a gap in knowledge and awareness regarding non-rotator cuff calcific tendinopathy, thus avoiding improper clinical choices and helping to identify this condition.
This systematic review was conducted following the PRISMA guidelines. We performed a search on Pubmed and Scopus databases concerning atypically sited extra-rotator cuff calcific tendinopathy published since 1950.
The research found a total of 267 articles and 793 non-rotator cuff cases of calcific tendinopathy registered. The spine (213 – 26.86%), foot and ankle (191 – 23.95%), and hip (175 – 22.06%) appeared to be the most common sites of calcific tendinopathy after the rotator cuff, whereas the longus colli C1-C2 (204 – 25.72%), Achilles (173 – 21.81%), and rectus femori (61 – 7.69%) were the most commonly affected tendons.
A better awareness of this condition in several different sites of the body than the rotator cuff could avoid unnecessary choices both in assessment and treatment.
钙化性肌腱炎是一种常见的肩部疼痛病因，可通过超声或常规 X 线摄影轻易识别。虽然肩袖是迄今为止最常见的病变部位，且在临床实践中诊断或治疗策略已广为人知，但人们对这种疾病其他受累部位的认识仍然不足；因此，低估非肩袖钙化性肌腱炎的发病率的风险很高。这可能导致昂贵或有创的诊断检查和/或不适当的治疗，而这种情况通常是自限性的。本研究旨在分析罕见部位钙化性肌腱炎的频率，以填补对非肩袖钙化性肌腱炎的认识空白，从而避免不当的临床选择，并有助于识别这种情况。
本系统评价遵循 PRISMA 指南进行。我们在 Pubmed 和 Scopus 数据库中搜索了自 1950 年以来发表的非肩袖部位异位钙化性肌腱炎的文章。
共检索到 267 篇文章和 793 例非肩袖钙化性肌腱炎病例。脊柱（213 例-26.86%）、足踝（191 例-23.95%）和髋部（175 例-22.06%）是肩袖以外最常见的钙化性肌腱炎部位，而 C1-C2 颈椎长肌（204 例-25.72%）、跟腱（173 例-21.81%）和股直肌（61 例-7.69%）是最常受累的肌腱。
在肩袖以外的身体多个部位对这种疾病有更好的认识，可以避免在评估和治疗中做出不必要的选择。
