Porcellini Giuseppe, Paladini Paolo, Campi Fabrizio, Paganelli Massimo
Unit of Shoulder and Elbow Surgery, Casa di Cura--Villa Serena, Centro di Chirurgia della Spalla e del Gomito, Forlì, Italy.
J Shoulder Elbow Surg. 2004 Sep-Oct;13(5):503-8. doi: 10.1016/j.jse.2004.04.001.
From 1996 to 1999, 95 shoulders with calcifying tendinitis of the rotator cuff were treated arthroscopically by the same surgeon and assigned to the same rehabilitation program. The 63 patients matching the inclusion criteria were reviewed after a mean follow-up of 36 months. Preoperative and postoperative clinical functional assessment was performed separately by the same three surgeons using the Constant method. The Pearson correlation coefficient was used to verify interobserver variability and to correlate the presence of residual calcifications with follow-up Constant scores and preoperative ultrasound findings. At 24 months, improved Constant scores were inversely related to the number and size of residual calcifications in all patients. Ultrasound examination showed no cuff tears. As outcome seemed to relate strongly only to the presence of residual calcium deposits in the tendon, their complete removal is recommended.
1996年至1999年期间,同一位外科医生对95例肩袖钙化性肌腱炎患者进行了关节镜治疗,并安排了相同的康复计划。对符合纳入标准的63例患者进行了平均36个月的随访。术前和术后临床功能评估由同三位外科医生分别采用Constant方法进行。使用Pearson相关系数来验证观察者间的变异性,并将残余钙化的存在与随访Constant评分和术前超声检查结果相关联。在24个月时,所有患者Constant评分的改善与残余钙化的数量和大小呈负相关。超声检查未发现肩袖撕裂。由于结果似乎仅与肌腱中残余钙沉积的存在密切相关,因此建议将其完全清除。