Arthroscopic treatment of non-homogeneous calcifying tendinitis of the rotator cuff.
Arthroscopic treatment of non-homogeneous calcifying tendinitis of the rotator cuff.
复制标题
DOI：
10.1186/s40064-016-1792-6
复制
发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Irani J
中科院分区：
文献类型：
--
作者：
El Rassi G;Matta J;Haidamous G;Brogard P;Clavert P;Kempf JF;Irani J
本研究的目的是探讨关节镜下治疗肩袖非均质浸润性钙化性肌腱炎(III型)的临床疗效，并评价关节镜下治疗的最佳方法。我们回顾了81名接受关节镜治疗的肩袖非均匀浸润性钙化性肌腱炎(III型)患者的病历。将患者分为两组：A组(n=31)接受钙化切除，B组(n=50)接受肩峰成形术。采用Constant-Murley评分评价治疗效果。81名患者中，23名为男性，58名为女性。从发病到首次就诊的平均症状持续时间为3.88年，平均标准差为3.06年。右侧受累47例，左侧受累34例，无双侧受累。与A组(从45.39分到67.23分)相比，B组患者的Constant-Murley评分提高了16分(从48.96分提高到88.06分)。III型钙化肌腱炎的治疗不同于I型和II型。肩部III型非均匀浸润性钙化肌腱炎患者可考虑肩峰下减压术。
The purpose of this study is to investigate the clinical outcome of arthroscopic treatment for patients with non-homogeneous infiltrated calcifying tendinitis of the rotator cuff (type III), and to assess the optimal method for this arthroscopic treatment. We retrospectively reviewed the charts of 81 patients who underwent arthroscopic treatment for non-homogeneous infiltrated calcifying tendinitis of the rotator cuff (type III). Patients were divided into two groups: Group A (n = 31) consisted of patients who underwent excision of calcification, and Group B comprised patients who underwent acromioplasty alone (n = 50). The clinical outcome of treatment was assessed using Constant-Murley score. Twenty-three of the 81 patients were males and 58 were females. The mean duration of symptoms from onset to the first clinic visit was 3.88 years (SD ± 3.06 years). The right side was involved in 47 patients, the left side in 34 patients, and none had bilateral involvement. Patients from Group B had higher 16 improvement of their Constant-Murley score (from 48.96 to 88.06) when 17 compared to group A (from 45.39 to 67.23). Treatment of type III calcifying tendinitis is different than type I and II. Subacromial decompression may be considered in all patients suffering from type III non-homogeneous infiltrated calcifying tendinitis of the shoulder.