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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Arthroscopic Removal and Rotator Cuff Repair Without Acromioplasty for the Treatment of Symptomatic Calcifying Tendinitis of the Supraspinatus Tendon
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Arthroscopic Removal and Rotator Cuff Repair Without Acromioplasty for the Treatment of Symptomatic Calcifying Tendinitis of the Supraspinatus Tendon

机译：关节镜切除术和无袖成形术的肩袖修复术治疗上肢肌腱钙化性腱炎

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Background: Calcified rotator cuff tendinitis is a common cause of chronic shoulder pain that leads to significant pain and functional limitations. Although most patients respond well to conservative treatment, some eventually require surgical treatment. Purpose: To evaluate the clinical outcome with arthroscopic removal of calcific deposit and rotator cuff repair without acromioplasty for the treatment of calcific tendinitis of the supraspinatus tendon. Study Design: Case series; Level of evidence, 4. Methods: This study retrospectively evaluated 30 consecutive patients with a mean age of 49.2 years. The mean follow-up was 35 months (range, 24-88 months). Pre- and postoperative functional assessment was performed using the Constant score, University of California Los Angeles (UCLA) score, and Quick Disabilities of the Arm, Shoulder, and Hand (DASH). Pain was assessed by visual analog scale (VAS). Radiographs and magnetic resonance imaging (MRI) were performed to evaluate the recurrence of calcifications and the indemnity of the supraspinatus tendon repair. Results: Significant improvement was obtained for pain (mean VAS, 8.7 before surgery to 0.8 after; P < .001). The mean Constant score increased from 23.9 preoperatively to 85.3 postoperatively ( P < .001), the mean Quick DASH score decreased from 47.3 preoperatively to 8.97 postoperatively ( P < .001), and the UCLA score increased from 15.8 preoperatively to 32.2 postoperatively ( P < .001). MRI examination at last follow-up (70% of patients) showed no tendon tears, and 96.2% of patients were satisfied with their results. Conclusion: Arthroscopic removal and rotator cuff repair without acromioplasty can lead to good results in patients with symptomatic calcifying tendonitis of the supraspinatus tendon.
机译：背景：肩袖钙化肌腱炎是慢性肩部疼痛的常见原因，导致明显的疼痛和功能受限。尽管大多数患者对保守治疗反应良好，但最终还是需要手术治疗。目的：通过关节镜镜下清除钙化沉积物和肩袖修复而不行肩峰成形术治疗脊柱上肌钙化肌腱炎的临床疗效。研究设计：案例系列;证据等级：4。方法：本研究回顾性评估了30名平均年龄为49.2岁的连续患者。平均随访时间为35个月（范围24-88个月）。术前和术后的功能评估采用恒定评分，加州大学洛杉矶分校（UCLA）评分和手臂，肩膀和手部快速残疾（DASH）进行。通过视觉模拟量表（VAS）评估疼痛。进行X线照片和磁共振成像（MRI）以评估钙化的复发和肩上肌腱修复的弥偿。结果：疼痛得到了显着改善（平均VAS，手术前8.7，手术后0.8; P <0.001）。平均Constant评分从术前的23.9提高到术后的85.3（P <.001），Quick DASH的平均评分从术前的47.3降低到术后的8.97（P <.001），而UCLA评分从术前的15.8升高到术后的32.2（P <.001）。最后一次随访（70％的患者）的MRI检查未见肌腱撕裂，并且96.2％的患者对其结果满意。结论：在没有肩峰成形术的情况下进行关节镜切除和肩袖修复可对有症状的棘上肌钙化性肌腱炎取得良好的效果。

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