Jacobs Ruben, Debeer Philippe
Department of Musculoskeletal Science, University Hospital Pellenberg, Pellenberg, Belgium.
Acta Orthop Belg. 2006 Jun;72(3):276-81.
In this study, we assessed the functional results after arthroscopic excision of rotator cuff calcifications. Sixty-one shoulders in 57 patients with chronic calcifying tendinitis of the rotator cuff were treated with arthroscopic excision, subacromial bursa debridement and shaving. In patients with fraying or roughness of the coracoacromial ligament, an acromioplasty was also performed. Patients were evaluated after a mean follow-up of 15 months. The modified Constant score and DASH score significantly improved from 33.4 to 66.8 and from 49.7 to 17.3 respectively. Performing an acromioplasty did not influence the final outcome. Frozen shoulder was a frequent complication (18%) without significant effect on the final DASH or Constant score. The presence of residual calcifications after arthroscopic needling did not influence the final outcome. We therefore believe that the presence of residual calcifications can be accepted if this is deemed necessary to preserve the integrity of the tendon.
在本研究中，我们评估了关节镜下切除肩袖钙化后的功能结果。对57例患有肩袖慢性钙化性肌腱炎的患者的61个肩部进行了关节镜下切除、肩峰下滑囊清创和磨削治疗。对于喙肩韧带磨损或粗糙的患者，还进行了肩峰成形术。患者在平均随访15个月后接受评估。改良Constant评分和DASH评分分别从33.4显著提高到66.8以及从49.7显著提高到17.3。进行肩峰成形术并不影响最终结果。肩周炎是一种常见并发症（18%），对最终的DASH或Constant评分无显著影响。关节镜下针刺后残留钙化的存在并不影响最终结果。因此，我们认为，如果认为保留肌腱完整性有必要，残留钙化的存在是可以接受的。
