Guido Federico, Venturin Davide, De Santis Andrea, Giovannico Giuseppe, Brindisino Fabrizio
Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise c/o Cardarelli Hospital, Campobasso, Italy.
Shoulder Elbow. 2025 Apr;17(2):121-129. doi: 10.1177/17585732241244515. Epub 2024 Apr 2.
The main goal of this scoping review is to highlight the clinical features of subjects with rotator cuff calcific tendinopathy (RCCT), in order to identify and map this condition clinical criteria, and thus to be able to hypothesize such pathology before imaging investigations.
Four databases were consulted up to January 2023. The obtained results were reported following the PRISMA-ScR and the Joanna Briggs Institute reviewer's manual was used as guideline for conducting the review. No time and geographical restrictions were applied.
A total of 851 records have been identified, with 50 studies meeting the inclusion criteria. Subjects with RCCT mostly reported nightly, acute and severe pain with spontaneous onset. Symptoms were mostly unilateral. Subjects were mostly women aged between 30 and 60. Deficit in active and passive range of motion was reported, mainly during abduction and forward flexion. Endocrine and metabolic disorders were described as comorbidity, in particular diabetes and thyroid disorders.
In this scoping review, the most relevant RCCT clinical features were detected. These clinical criteria, predictive for shoulder RCCT, can be crucial to help all clinicians suspect this musculoskeletal disease early and with certainty, thus allowing for an appropriate and prompt diagnosis path.
III.
本范围综述的主要目标是突出肩袖钙化性肌腱病（RCCT）患者的临床特征，以便识别和梳理该病症的临床标准，从而能够在影像学检查之前对这种病理情况进行推测。
截至2023年1月，查阅了四个数据库。按照PRISMA-ScR报告所得结果，并以乔安娜·布里格斯研究所评审手册作为开展综述的指南。未施加时间和地理限制。
共识别出851条记录，其中50项研究符合纳入标准。RCCT患者大多报告夜间突发急性剧痛。症状大多为单侧。患者大多为30至60岁的女性。报告了主动和被动活动范围受限，主要在外展和前屈时。内分泌和代谢紊乱被描述为合并症，尤其是糖尿病和甲状腺疾病。
在本范围综述中，检测到了RCCT最相关的临床特征。这些对肩部RCCT具有预测性的临床标准，对于帮助所有临床医生早期且确定地怀疑这种肌肉骨骼疾病至关重要，从而实现适当且及时的诊断流程。
III级。
