Arthroscopic Surgery for Calcific Tendinitis of the Shoulder

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  • 石灰沈着性腱板炎に対する肩関節鏡視下手術の経験
  • セッカイ チンチャクセイケンバンエン ニ タイスル カタカンセツ キョウシカ シュジュツ ノ ケイケン

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Abstract

Objective: We performed arthroscopic surgery in 6 cases of calcific tendimtis that had not been improved by conservative treatment and we obtained good results in every case. In this article, we review the important points in regard to the operations.<br>Methods: The 6 patients who underwent arthroscopic surgery between 2005 and 2007, 3 males and 3 females were followed up for more 6 months (mean: 15.1 months); (range: 7-26 months) Average age at surgery was 50.6 years old (range: 26-76 years). We performed ASD (arthroscopic subacromial decompression) and arthroscopic resection of calcium deposits in every case. In 5 cases, rotator cuff repair was performed by simple side-to-side suture or suture anchor. Arthroscopic capsular release was added in the one case with joint contracture secondary to diabetes mellitus. Because there was an articular side tear in on e case, we made the tear complete and performed dual row fixation. The clinical results were evaluated by comparing scores on the UCLA scales before and after surgery.<br>Results: The UCLA scores improved from an average of 20.3 poin ts preoperatively to 33.8 points postoperatively.<br>In case 1, persistence of calcium was seen on the postoperative X-rays, and the pain improved, but night pain persisted for about 4 month s. In case 2, we confirmed the presence of calcium in the perioperative X-rays and completely resected the calcium deposits. The patients UCLA score improved from 20 points to 35 points with in two weeks after the operation.<br>Conclusion: We performed arthroscopic surgery to treat calcific tendinitis of the shoulder in 6 cases and obtained good results.

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