From the Sportordination, Vienna, Austria (KP); Department of Physical Medicine, Rehabilitation & Occupational Medicine, Medical University of Vienna, General Hospital of Vienna, Vienna, Austria (GE); Department of Physical Medicine & Rehabilitation, Wilhelminen Hospital, Vienna, Austria (MG-S); Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, General Hospital of Vienna, Vienna, Austria (FK, MF); Gesundheitsforschungsinstitut, Bad Elster, Germany (K-LR); Physical Medicine & Rehabilitation, VAMED, Vienna, Austria (TB); and Section for Medical Statistics, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria (EP).
Am J Phys Med Rehabil. 2018 Sep;97(9):651-658. doi: 10.1097/PHM.0000000000000939.
The aim of the study was to follow both the structure- and function-related long-term course of shoulders that had been treated with therapeutic ultrasound for symptomatic calcific tendinitis.
This is a long-term follow-up of 45 shoulders (37 patients) that had been treated for symptomatic calcific tendinitis with either a series of ultrasound or sham ultrasound 10 yrs ago. The main outcome variables were presence of calcium deposits and subacromial impingement on standardized x-ray imaging, shoulder symptoms (Binder score), and function (Constant score).
At 10 yrs, a similar proportion of calcium deposits had resolved in 78% of the originally ultrasound treated compared with 83% of sham-treated shoulders, whereas at 9 mos, significantly more calcium deposits had been resolved in the ultrasound group (P = 0.045). Relative to baseline, shoulder symptoms and function had significantly improved at both the 10-yr and 9-mo follow-up examinations with no significant differences between groups. Regular sports performance at baseline predicted a favorable long-term outcome.
Symptomatic calcific tendinitis of the shoulder has a good likelihood to completely resolve in the long term. Treating the calcium deposit effectively, however, may not be causal to the recovery from symptoms and function in calcific tendinitis.
本研究旨在对接受治疗性超声治疗的症状性钙化性肌腱炎患者的肩部结构和功能相关的长期病程进行随访。
这是一项对 45 个肩部（37 名患者）的长期随访研究，这些肩部在 10 年前因症状性钙化性肌腱炎接受了一系列超声或假超声治疗。主要的结局变量是标准 X 线影像学上钙沉积的存在和肩峰下撞击，肩部症状（Binder 评分）和功能（Constant 评分）。
10 年时，在最初接受超声治疗的肩部，有 78%的钙沉积得到了缓解，与接受假超声治疗的肩部的 83%相似，而在 9 个月时，超声组有更多的钙沉积得到了缓解（P = 0.045）。与基线相比，在 10 年和 9 个月的随访检查中，肩部症状和功能都有显著改善，两组之间没有显著差异。基线时定期进行体育活动能预测长期预后良好。
肩部症状性钙化性肌腱炎有很好的长期完全缓解的可能性。然而，有效地治疗钙沉积可能与钙化性肌腱炎的症状和功能恢复无关。
