Pathology

Bursitis

Calcific Tendonitis (degenerative) Calcium deposits form on the tendons of the shoulder, tissues become inflamed2

Calcific Tendonitis (reactive)

Arthritis

Frozen Shoulder/ Adhesive Capsulitis Shoulder condition characterized by stiffness and pain in the shoulder joint. Occurs gradually, worsens over time, and then resolves1

Definition

Inflammation or irritation of the bursa4

Type of calcific Joint inflammation. tendonitis There are many different where the forms of arthritis3 tendon undergoes unknown changes that cause calcium deposits to form, and then the body reabsorbs these deposits which causes pain2 Cause is unknown2 The cause depends on the form. Various causes include Injury Metabolic abnormalities Hereditary factors Direct and indirect effect of infections Autoimmunity3

Cause

Repetitive movement, minor impact on the area, or acute injury. More common with age. Added stress or inflammation from other conditions such as rheumatoid arthritis4

Wear and tear with age. Blood flow to the shoulder decreases with age, making the tendon weaker and the fibers of the tendon begin to fray and can tear. Calcium deposits form in the damaged tendon as a healing

Risk of developing this condition increases if you are recovering from a medical condition or procedure that affects the mobility of your arm1

process2 Symptoms Pain, or it can lead to severe loss of motion called frozen shoulder (adhesive capsulitis)4 Mild to moderate pain and stiffness2 Mild to moderate pain and stiffness. Pain increases when the calcium deposits are being reabsorbed2 Joint pain (arthralgia), limited function of joint, stiffness, swelling, redness, warmth, and tenderness of the joint3 Develops slowly, patient goes through 3 stages 1. Painful Stage (pain occurs with movement, there is a limited range of motion) 2. Frozen Stage (pain begins to diminish, shoulder becomes stiffer and range of motion decreases further) 3. Thawing Stage (range of motion improves)1

References 1. Mayo Clinic Staff. (2011). Frozen Shoulder. Mayo Clinic. Retrieved from http://www.mayoclinic.com/health/frozenshoulder/DS00416 2. (n.a.). (n.d.). Calcific Tendonitis of the Shoulder. eOrthopod. Retrieved from http://www.eorthopod.com/content/calcifictendonitis-shoulder 3. Shiel, W.C. (2012). Arthritis. Medicine Net. Retrieved from http://www.onhealth.com/arthritis/article.htm 4. Zelman, D. (2012). Bursitis. Web MD. Retrieved from http://www.webmd.com/pain-management/arthritis-bursitis