The Relation between Calcium Supplement Consumption and Calcific Shoulder Tendonitis

Alireza Rouhani, Jafar Soleimanpour, Ayaz Sadeghilar, Ali Tabrizi

Abstract


Background: Calcific tendonitis is a common cause of non-traumatic shoulder pain. Previous studies have suggested a relation between minerals and endocrine and calcium deposition. Thus, hypercalcemia is probably related to calcific tendonitis. This study aims at evaluating the relation found between calcium supplement consumption and calcific shoulder tendonitis. Methods: This analytical-descriptive study was conducted on 250 patients with shoulder pain referring to clinics and emergency department of Shohada Orthopedics Hospital during one year for considering calcific shoulder tendonitis and calcium supplement consumption. Patients with calcific tendonitis were treated and their functional ability was evaluated using DASH questionnaire, pain severity and range of motion (ROM) before and after treatment and their correlation with calcium supplement consumption. Results: Calcific tendonitis and calcium consumption were generally seen in 30 (12%) and 73 (29.2%) cases, respectively. Calcium consumption frequency in patients with calcific tendonitis was significantly higher than the patients who did not consume calcium supplements (76.7% vs. 22.7%). Patients with calcific tendonitis who did not consume calcium supplements suffered from significantly longer periods of shoulder pain. All patients having consumed calcium supplement were female. The group who consumed calcium supplement had significantly severe pain and higher DASH score before and after treatment, while there was no significant difference in number of impaired ROM before and after treatment. Also, there was a negative correlation between calcium supplement consumption, pain severity and DASH score before and after treatment. Conclusion: Calcium supplement consumption is related to calcific tendonitis and is also accompanied with more pain and lower functional ability in patients with calcific tendonitis. 

 

Keywords: Calcific tendonitis; Shoulder; Calcium supplement; Pain


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References


Kachewar SG, Kulkarni DS. Calcific tendinitis of the rotator cuff: a review. J Clin Diagn Res, 2013; 7(7):1482-5.

Suzuki K, Potts A, Anakwenze O, Singh A. Calcific Tendinitis of the Rotator Cuff: Management Options. J Am Acad Orthop Surg, 2014; 22(11):707-717.

Siegal DS, Wu JS, Newman JS, Del Cura JL, Hochman MG. Calcific tendinitis: a pictorial review. Can Assoc Radiol J, 2009; 60(5):263-72.

Uhthoff HK, Loehr JW. Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management. J Am Acad Orthop Surg, 1997; 5:183–91.

Chiou HJ, Hung SC, Lin SY, Wei YS, Li MJ. Correlations among mineral components progressive calcification process and clinical symptoms of calcific tendonitis. Rheumatology, 2010; 49:548–555.

Harvie P, Pollard TC, Carr AJ. Calcific tendinitis: Natural history and association with endocrine disorders. J Shoulder Elbow Surg, 2007; 16:169-173.

Cavalli L, D’Elia G, Caracchini G, De Masi De Luca A, Innocenti P, Brandi ML. P28 - Calcific Tendinopathy and Vitamin D Status: A Potential Aetiopathogenetic Factor and Therapeutic Approach. Clinical Cases in Mineral and Bone Metabolism, 2010; 7(3):234.

Mousavi SJ, Parnianpour M, Abedi M, Askary-Ashtiani A, Karimi A, Khorsandi A, et al. Cultural adaptation and validation of the Persian version of the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure. Clin Rehabil, 2008; 22(8):749–757.

Garcia GM, McCord GC, Kumar R. Hydroxyapatite crystal deposition disease. Semin Musculoskelet Radiol, 2003; 7:187–93.

Rogers LF, Hendrix RW. The painful shoulder. Radiol Clin North Am, 1988; 26(6):1359-71.

Hearnden A, Desai A, Karmegam A, Flannery M. Extracorporeal shock wave therapy in chronic calcific tendonitis of the shoulder--is it effective? Acta Orthop Belg, 2009; 75(1):25-31.

Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: part I. Evaluation and diagnosis. Am Fam Physician, 2008; 77(4):453-60.

Hernandez-Santana A, Yavorsky A, Loughran ST, McCarthy GM, McMahon GP. New approaches in the detection of calcium-containing microcrystals in synovial fluid. Bioanalysis, 2011; 3(10):1085-91.

Tendinopathy. Greis AC, Derrington SM, McAuliffe M. Evaluation and Nonsurgical Management of Rotator Cuff Calcific. Orthop Clin North Am, 2015; 46(2):293-302.

Bureau NJ. Calcific tendinopathy of the shoulder. Semin Musculoskelet Radiol, 2013; 17(1):80-4.

Uhthoff HK, Sarkar K. Calcifying tendonitis. Baillieres Clin Rheumatol, 1989; 3:567-81.

Olszak IT, Poznansky MC, Evans RH, Olson D, Kos C, Pollak MR, et al. Extracellular calcium elicits a chemokinetic response from monocytes in vitro and in vivo. J Clin Invest, 2000; 105(9): 1299-305.

Chen W, Deng Y, Zhang J, Tang K. Uniaxial repetitive mechanical overloading induces influx of extracellular calcium and cytoskeleton disruption in human tenocytes. Cell Tissue Res, 2015; 359(2):577-87.

Halimi D, Benhamou CL, Amor B, Bricaire H, Luton JP. [Osteoarticular pathology, hypercalcemia and adrenal insufficiency. Analysis of 113 cases of adrenal insufficiency]. [Article in French] Ann Endocrinol (Paris), 1986; 47(6):403-8.

Agarwal S, Owen R. Tendinitis and tendon ruptures in successful renal transplant recipients. Clin Orthop Relat Res, 1990; 252:270-5.

Yokoyama M, Aono H, Takeda A, Morita K. Cimetidine for chronic calcifying tendinitis of the shoulder. Reg Anesth Pain Med, 2003; 28(3):248-52.

Ogon P, Suedkamp NP, M Jaeger, Izadpanah K, Koestler W, Maier D. Prognostic Factors in Nonoperative Therapy for Chronic Symptomatic Calcific Tendinitis of the Shoulder. Arthritis Rheum, 2009; 60(10):2978-84.


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