ICD-10: M75.30

Calcific tendinitis of the shoulder, classified under ICD-10 code M75.30, is a condition characterized by the deposition of calcium salts in the rotator cuff tendons, leading to pain and restricted movement. The diagnosis of this condition typically involves a combination of clinical evaluation, imaging studies, and specific diagnostic criteria. Below is a detailed overview of the criteria used for diagnosing calcific tendinitis of the shoulder.

Clinical Evaluation

Symptoms

The initial step in diagnosing calcific tendinitis involves assessing the patient's symptoms, which may include:
- Shoulder Pain: Often described as a deep, aching pain that may worsen with movement.
- Limited Range of Motion: Patients may experience difficulty in raising the arm or performing overhead activities.
- Night Pain: Discomfort that disrupts sleep, particularly when lying on the affected side.

Physical Examination

A thorough physical examination is crucial. Key components include:
- Palpation: Tenderness over the rotator cuff area, particularly the supraspinatus tendon.
- Range of Motion Tests: Assessing both active and passive range of motion to identify limitations.
- Special Tests: Specific maneuvers, such as the Neer and Hawkins tests, may be performed to elicit pain and confirm shoulder impingement.

Imaging Studies

X-rays

Radiographic imaging is essential for confirming the diagnosis. X-rays can reveal:
- Calcific Deposits: The presence of calcifications in the rotator cuff tendons, typically seen in the supraspinatus tendon.
- Bone Changes: Any associated changes in the acromion or other bony structures that may contribute to impingement.

Ultrasound and MRI

In some cases, additional imaging may be warranted:
- Ultrasound: Can provide real-time visualization of the rotator cuff and the presence of calcific deposits.
- MRI: Useful for assessing the extent of tendon damage and ruling out other shoulder pathologies, such as tears or bursitis.

Differential Diagnosis

It is important to differentiate calcific tendinitis from other shoulder conditions, including:
- Rotator Cuff Tears: Full or partial tears can present similarly but may require different management.
- Shoulder Impingement Syndrome: Often coexists with calcific tendinitis but may not involve calcifications.
- Bursitis: Inflammation of the bursa can mimic symptoms of calcific tendinitis.

Conclusion

The diagnosis of calcific tendinitis of the shoulder (ICD-10 code M75.30) relies on a combination of clinical symptoms, physical examination findings, and imaging studies. The presence of calcific deposits on X-ray, along with characteristic symptoms and physical exam findings, supports the diagnosis. Proper identification of this condition is crucial for effective management and treatment, which may include conservative measures such as physical therapy, corticosteroid injections, or, in some cases, surgical intervention if conservative treatment fails.

Calcific tendinitis of the shoulder, classified under ICD-10 code M75.30, is a condition characterized by the accumulation of calcium deposits in the rotator cuff tendons, leading to pain and restricted movement. The treatment approaches for this condition can vary based on the severity of symptoms and the impact on the patient's daily life. Below is a comprehensive overview of standard treatment strategies.

Initial Conservative Management

1. Rest and Activity Modification

• Rest: Patients are often advised to rest the affected shoulder to reduce inflammation and pain. Avoiding activities that exacerbate symptoms is crucial.
• Activity Modification: Gradually returning to normal activities while avoiding overhead movements can help manage symptoms effectively.

2. Physical Therapy

• Therapeutic Exercises: A physical therapist may design a program that includes stretching and strengthening exercises to improve shoulder mobility and function.
• Manual Therapy: Techniques such as joint mobilization and soft tissue manipulation can alleviate pain and improve range of motion.

3. Pain Management

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications like ibuprofen or naproxen can help reduce pain and inflammation.
• Ice Therapy: Applying ice packs to the shoulder can provide symptomatic relief, especially after activity.

Advanced Treatment Options

4. Extracorporeal Shock Wave Therapy (ESWT)

• ESWT is a non-invasive treatment that uses acoustic waves to promote healing in the affected tendon. Studies have shown it can be effective in reducing pain and improving function in patients with calcific tendinitis[1][4].

5. Corticosteroid Injections

• In cases where pain persists despite conservative management, corticosteroid injections may be administered to reduce inflammation and provide temporary relief.

6. Ultrasound-Guided Needle Aspiration

• This minimally invasive procedure involves using ultrasound to guide a needle to aspirate (remove) the calcium deposits from the tendon. It can provide significant pain relief and improve shoulder function[1].

Surgical Intervention

7. Surgery

• If conservative treatments fail and the condition severely impacts the patient's quality of life, surgical options may be considered. The most common procedure is arthroscopic surgery, where the calcium deposits are removed, and any damaged tissue is repaired. This approach typically results in quicker recovery times and less postoperative pain compared to open surgery[2][3].

Conclusion

The management of calcific tendinitis of the shoulder (ICD-10 code M75.30) typically begins with conservative measures, including rest, physical therapy, and pain management. If these approaches are ineffective, more advanced treatments such as ESWT, corticosteroid injections, or ultrasound-guided aspiration may be employed. In persistent cases, surgical intervention may be necessary. It is essential for patients to work closely with their healthcare providers to determine the most appropriate treatment plan based on their specific symptoms and lifestyle needs.

Calcific tendinitis of the shoulder is a common condition characterized by the deposition of calcium salts in the rotator cuff tendons, leading to inflammation and pain. The ICD-10 code M75.30 specifically refers to calcific tendinitis of the unspecified shoulder, indicating that the condition has not been localized to a specific shoulder (left or right).

Clinical Description

Pathophysiology

Calcific tendinitis typically occurs when calcium hydroxyapatite crystals form within the tendons of the rotator cuff, particularly the supraspinatus tendon. This condition can lead to acute inflammation, resulting in pain and restricted movement. The exact cause of calcium deposition is not fully understood, but it may be associated with factors such as age, repetitive shoulder use, and certain metabolic disorders.

Symptoms

Patients with calcific tendinitis often present with:
- Shoulder Pain: This pain can be severe and is usually localized to the shoulder area. It may worsen with movement or at night.
- Limited Range of Motion: Patients may experience difficulty in raising their arm or performing overhead activities.
- Swelling and Tenderness: The affected area may be tender to touch, and swelling can occur due to inflammation.

Diagnosis

Diagnosis typically involves a combination of:
- Clinical Examination: A thorough physical examination to assess pain, range of motion, and tenderness.
- Imaging Studies: X-rays are commonly used to visualize calcifications in the shoulder. Ultrasound or MRI may also be employed for a more detailed assessment of the soft tissues and to rule out other conditions.

Treatment Options

Conservative Management

Initial treatment often focuses on conservative measures, including:
- Rest: Avoiding activities that exacerbate the pain.
- Physical Therapy: Exercises to improve range of motion and strengthen shoulder muscles.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.

Interventional Procedures

If conservative treatment fails, more invasive options may be considered:
- Corticosteroid Injections: These can provide temporary relief from inflammation and pain.
- Extracorporeal Shock Wave Therapy: This non-invasive treatment can help break down calcium deposits.
- Surgical Intervention: In severe cases, arthroscopic surgery may be necessary to remove the calcific deposits.

Prognosis

The prognosis for calcific tendinitis is generally favorable, with many patients experiencing significant improvement with appropriate treatment. However, some may have recurrent symptoms or chronic pain, necessitating ongoing management.

Conclusion

ICD-10 code M75.30 is used to classify calcific tendinitis of the unspecified shoulder, a condition that can significantly impact a patient's quality of life. Understanding the clinical presentation, diagnostic methods, and treatment options is crucial for effective management and recovery. If symptoms persist or worsen, it is essential for patients to seek further evaluation and treatment from a healthcare professional.

Calcific tendinitis of the shoulder, classified under ICD-10 code M75.30, is a common condition characterized by the deposition of calcium salts in the rotator cuff tendons, particularly affecting the supraspinatus tendon. This condition can lead to significant pain and functional impairment. Below is a detailed overview of its clinical presentation, signs, symptoms, and patient characteristics.

Clinical Presentation

Overview

Calcific tendinitis typically presents with acute shoulder pain and limited range of motion. The condition can be asymptomatic in some individuals, but when symptomatic, it often leads to significant discomfort and functional limitations.

Signs and Symptoms

1. Pain:
   - Patients often report a sudden onset of severe shoulder pain, which may be localized to the anterior or lateral aspect of the shoulder.
   - Pain can be exacerbated by overhead activities or specific movements, such as reaching or lifting.

2. Limited Range of Motion:
   - Patients may experience a reduced range of motion, particularly in abduction and external rotation.
   - Stiffness in the shoulder joint is common, which can further limit daily activities.

3. Swelling and Tenderness:
   - There may be localized swelling and tenderness over the affected area, particularly around the greater tuberosity of the humerus.
   - Palpation of the shoulder may elicit pain, especially when pressing on the rotator cuff region.

4. Functional Impairment:
   - Patients often report difficulty performing routine tasks, such as dressing, grooming, or reaching for objects.
   - Night pain is also common, which can disrupt sleep.

5. Crepitus:
   - Some patients may experience a sensation of crepitus (a grating sound or feeling) during shoulder movement, indicating potential tendon involvement.

Patient Characteristics

Demographics

• Age: Calcific tendinitis is most commonly seen in adults aged 30 to 60 years, with a peak incidence in individuals around 40 to 50 years old.
• Gender: There is a slight female predominance, although it can affect both genders.

Risk Factors

1. Occupational and Recreational Activities:
   - Individuals engaged in repetitive overhead activities, such as athletes (especially swimmers and tennis players) or manual laborers, are at higher risk.

2. Previous Shoulder Injuries:
   - A history of shoulder injuries or prior rotator cuff problems may predispose individuals to calcific tendinitis.

3. Systemic Conditions:
   - Conditions such as diabetes mellitus and thyroid disorders have been associated with an increased risk of developing calcific tendinitis.

4. Genetic Factors:
   - There may be a familial tendency, suggesting a genetic predisposition to the condition.

Clinical Evaluation

• Imaging: Diagnosis is often confirmed through imaging studies, such as X-rays, which can reveal calcific deposits in the rotator cuff tendons. Ultrasound and MRI may also be utilized to assess the extent of tendon involvement and to rule out other shoulder pathologies.

Conclusion

Calcific tendinitis of the shoulder (ICD-10 code M75.30) is characterized by acute shoulder pain, limited range of motion, and functional impairment, primarily affecting middle-aged adults. Understanding the clinical presentation, signs, symptoms, and patient characteristics is crucial for accurate diagnosis and effective management. Early intervention can help alleviate symptoms and restore shoulder function, making it essential for healthcare providers to recognize this condition promptly.

Calcific tendinitis of the shoulder, specifically coded as M75.30 in the ICD-10 classification, is a condition characterized by the deposition of calcium salts in the tendons of the shoulder, leading to pain and restricted movement. Understanding alternative names and related terms can enhance clarity in medical documentation and communication. Here’s a detailed overview:

Alternative Names for Calcific Tendinitis of the Shoulder

1. Calcific Tendinopathy: This term emphasizes the degenerative nature of the tendon condition, highlighting the presence of calcium deposits.
2. Shoulder Calcification: A more general term that refers to the calcification process occurring in the shoulder tendons.
3. Calcific Tendinitis: Often used interchangeably with calcific tendinopathy, this term focuses on the inflammatory aspect of the condition.
4. Shoulder Tendinitis with Calcification: This phrase explicitly describes the condition as a type of tendinitis that includes calcification.

Related Terms

1. Rotator Cuff Tendinitis: While not synonymous, calcific tendinitis often affects the rotator cuff tendons, making this term relevant in discussions about shoulder pain.
2. Subacromial Impingement Syndrome: This condition can occur alongside calcific tendinitis, as the calcium deposits may lead to impingement of the rotator cuff tendons.
3. Shoulder Pain: A broader term that encompasses various shoulder conditions, including calcific tendinitis.
4. Tendinopathy: A general term for tendon disorders, which can include calcific tendinitis as a specific type.
5. Shoulder Bursitis: This condition may co-occur with calcific tendinitis, as inflammation of the bursa can contribute to shoulder pain.

Clinical Context

Calcific tendinitis is often diagnosed through imaging techniques such as X-rays or ultrasound, which can reveal the presence of calcium deposits in the shoulder tendons. Treatment typically involves pain management strategies, physical therapy, and in some cases, surgical intervention if conservative measures fail[1][2].

Understanding these alternative names and related terms can facilitate better communication among healthcare providers and improve patient education regarding the condition.

In summary, recognizing the various terminologies associated with ICD-10 code M75.30 can enhance clarity in clinical discussions and documentation, ensuring that both patients and providers have a mutual understanding of the condition.