Arthroscopic Surgery for Calcifying Tendinitis of the Shoulder

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  • 関節鏡視下手術を行った石灰沈着性肩腱板炎の3例

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Three patients with chronic calcifying tendinitis of the shoulder, who failed to respond to conservative treatment, were underwent arthroscopic surgery. One patient was male and two were females. Their ages were thirty-two, forty-nine, fifty-nine. The follow-up period averaged thirteen months.<BR>We operated the patients under general anesthesia, in the lateral decubitus position, tracting their arms at 45°of abduction and 15° forward flexion We had posterolateral scopic portal and anterolateral working portal. At first, we resected the inferior subacromial bursa carefully using the MitekTM VAPR system, and then found the calcium deposit site as a white area on the rotator cuffs. We removed the calcium deposits through small incision made on the cuff arthroscopically, but did not close the incision on the cuff in all cases. After that, we performed arthroscopic subacromial decompression. Preoperative JOA score of all patients was 69 points and improved to higher than 90 points postoperatively. DePalma classified calcium deposit tendinitis into 3 types as acute, subacute, and chronic type. In many patients affecting chronic type, conservative treatment was not effective. Then we used to resect the calcium deposit using this open procedure. But now we can operate them arthroscopically. Arthroscopic surgery was very useful for the treatment of chronic calcifying tendinitis of the shoulder. All the patients did not have any symptom about the small tear on the cuff postoperatively.

Journal

  • Katakansetsu

    Katakansetsu 27 (2), 283-286, 2003

    Japan Shoulder Society

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