Hsu H C, Wu J J, Jim Y F, Chang C Y, Lo W H, Yang D J
From the Department of Orthopaedic Surgery, Department of Radiology, Veterans General Hospital, Taipei, Taiwan, Republic of China.
J Shoulder Elbow Surg. 1994 May;3(3):159-64. doi: 10.1016/S1058-2746(09)80095-5. Epub 2009 Feb 19.
Calcific tendinitis and rotator cuff tearing are among the most common tearing abnormalities of the rotator cuff. They are considered to be two different disease entities, but the two conditions can coexist. This study identifies the clinical and radiologic features of calcifying tendinitis in Oriental people and defines its relationship to rotator cuff tearing. From October 1989 through August 1992, there were 82 patients with calcifying tendinitis suffering from persistent shoulder pain, who received arthrographic examination. Most of the calcific depositions were located in the supraspinatus (70.7%) and infraspinatus (26.8%) tendons, and most (73.2%) were found in the critical zone. Twenty-three (28%) had arthrogrophic evidence of rotator cuff tearing, and five were confirmed by surgery. Most of the patients (77.9%) in the nontear group had an ill-defined texture, whereas in the tear group almost one half had a well-defined texture (43.5% vs 56.5%). The texture, shape of the calcific deposits, and the integrity of the rotator cuff were significantly related to the size of the calcific deposit. The presence of a calcium deposit does not rule out the possibility of a coexisting rotator cuff tear. The sex and age distribution of calcifying tendinitis in Oriental people is differnt from information reported in the Western literature.
钙化性肌腱炎和肩袖撕裂是肩袖最常见的撕裂异常情况。它们被认为是两种不同的疾病实体，但这两种情况可能同时存在。本研究确定了东方人钙化性肌腱炎的临床和放射学特征，并明确了其与肩袖撕裂的关系。从1989年10月至1992年8月，有82例患有持续性肩部疼痛的钙化性肌腱炎患者接受了关节造影检查。大多数钙化沉积物位于冈上肌（70.7%）和冈下肌（26.8%）肌腱，且大多数（73.2%）位于关键区域。23例（28%）有关节造影显示肩袖撕裂的证据，其中5例经手术证实。非撕裂组的大多数患者（77.9%）质地不清晰，而撕裂组近一半质地清晰（43.5%对56.5%）。钙化沉积物的质地、形状以及肩袖的完整性与钙化沉积物的大小显著相关。钙沉积物的存在并不排除同时存在肩袖撕裂的可能性。东方人钙化性肌腱炎的性别和年龄分布与西方文献报道的信息不同。
