Tung Kam-Lung, Woo Siu-Bon
Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong.
J Orthop Surg (Hong Kong). 2015 Apr;23(1):116-9. doi: 10.1177/230949901502300126.
We report on a 36-year-old man who underwent arthroscopic debridement for bilateral calcific tendinitis of the subscapularis tendons. The patient had a positive coracoid impingement test for both shoulders. Radiology showed calcific deposits at the insertion of both subscapularis tendons, close to the lesser tuberosities and just posterior to the coracoid tips. The patient underwent sequential arthroscopic coracoplasty and removal of calcific deposits in the subscapularis tendons. The patient returned to work 6 weeks after each surgery. At 2 years, the patient had no shoulder pain, with full range of motion and full power of the subscapularis muscles. The coracoid impingement test was negative for both shoulders. There was no evidence of recurrence.
我们报告了一名36岁男性，他因双侧肩胛下肌腱钙化性肌腱炎接受了关节镜清创术。该患者双肩的喙突撞击试验均为阳性。影像学检查显示双侧肩胛下肌腱附着处有钙化沉积，靠近小结节且恰好在喙突尖后方。患者接受了序贯性关节镜喙突成形术及肩胛下肌腱钙化沉积物清除术。每次手术后6周患者恢复工作。2年时，患者肩部无疼痛，活动范围正常，肩胛下肌力量完全恢复。双肩的喙突撞击试验均为阴性。无复发迹象。
