Ark J W, Flock T J, Flatow E L, Bigliani L U
Shoulder Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York.
Arthroscopy. 1992;8(2):183-8. doi: 10.1016/0749-8063(92)90034-9.
The results of arthroscopic treatment of chronic resistant calcific tendinitis of the shoulder in twenty-three patients were evaluated. Each patient had greater than 1 year of unsuccessful nonoperative management prior to arthroscopic surgery. The average age was 49 years (range 33-60) and average follow up was 26 months (range 12-47). Subacromial bursectomy was performed in all patients. Based on follow-up radiographs, thirteen patients had partial calcium removal while nine had complete removal of calcium. Results were graded as good in eleven patients (50%) with full motion and complete pain relief, satisfactory in nine (41%) patients with full motion and occasional episodes of pain, and unsatisfactory in two (9%) patients with persistent pain. Arthroscopic calcium removal and subacromial bursectomy are reasonable alternatives in the treatment of chronic calcific tendinitis resistant to conservative treatment.
对23例肩部慢性顽固性钙化性肌腱炎患者的关节镜治疗结果进行了评估。每位患者在关节镜手术前均有超过1年的非手术治疗失败经历。平均年龄为49岁（范围33 - 60岁），平均随访时间为26个月（范围12 - 47个月）。所有患者均进行了肩峰下滑囊切除术。根据随访X线片，13例患者部分钙盐清除，9例患者钙盐完全清除。结果分级为：11例（50%）患者运动完全恢复且疼痛完全缓解，结果为良好；9例（41%）患者运动完全恢复但偶尔有疼痛发作，结果为满意；2例（9%）患者持续疼痛，结果为不满意。关节镜下钙盐清除和肩峰下滑囊切除术是治疗对保守治疗耐药的慢性钙化性肌腱炎的合理替代方法。
