Surgical treatments for calcific tendonitis of the shoulder typically aim to remove the calcium deposits and relieve symptoms. Here are some common surgical options:

1. Arthroscopic Decompression: This minimally invasive procedure involves making small incisions and using a tiny camera (arthroscope) to guide the removal of the calcium deposits and any damaged tissue around the tendon. It’s less invasive than traditional open surgery and often leads to faster recovery times.
2. Needle Aspiration (Barbotage): In this procedure, a needle is inserted into the calcium deposit under ultrasound guidance, and the calcium is broken up or suctioned out. This can sometimes be done in conjunction with other procedures or as a standalone treatment.
3. Rotator Cuff Repair: If the calcific tendonitis has caused significant damage to the rotator cuff tendon, repair of the tendon may be necessary. This can be done arthroscopically at the time of decompression of the calcific tendonitis.
4. Subacromial Decompression: Sometimes, the calcium deposits or the dysfunction of the rotator cuff from the calcific tendonitis can cause impingement on the structures in the subacromial space (the area between the acromion and the rotator cuff tendons). Subacromial decompression surgery aims to create more space in this area by removing any bone spurs or other obstructions that may be contributing to the impingement.

The choice of surgical treatment depends on various factors, including the size and location of the calcium deposits, the severity of symptoms, and the patient’s overall health. It’s important for individuals with calcific tendonitis of the shoulder to discuss their options thoroughly with their healthcare provider to determine the most appropriate course of action. At Total Orthopedics and Sports Medicine we have experts in calcific tendonitis who can come up with a treatment plan specific to the patients problem.