Umamahesvaran Balaji, Sambandam Senthil Nathan, Mounasamy Varatharaj, Gokulakrishnan Ponnusami Pillai, Ashraf Munis
KG Hospital & Post Graduate Institute, Coimbatore, Tamilnadu, India.
Louis A Johnson VA Medical center, Clarksburg, West Virginia, USA.
J Orthop. 2018 May 20;15(3):776-782. doi: 10.1016/j.jor.2018.05.040. eCollection 2018 Sep.
Calcifying Tendinitis (CT) shoulder a self limiting disorder characterized by deposition of calcium salts in rotator cuff muscles. The main symptom being pain followed by activity restriction resolving on its own in most cases. Symptomatic patients are initially managed by NSAIDs, Physiotherapy, Corticosteroid injections. ESWT involves acoustic waves causing fragmentation of deposits with pain releif. Ultrasound guided needling barbotage have shown promising results. Arthroscopic excision remains the definitive management for patients associated with complications as cuff tear and for uncomplicated patients. In calcifying tendinitis the initial evaluation, maintenance of function and appropriate choice of treatment modalities determines the prognosis.
钙化性肌腱炎（CT）累及肩部，是一种自限性疾病，其特征是钙盐沉积于肩袖肌肉。主要症状为疼痛，随后出现活动受限，多数情况下可自行缓解。有症状的患者最初采用非甾体抗炎药、物理治疗、皮质类固醇注射进行治疗。体外冲击波疗法（ESWT）利用声波使沉积物破碎以缓解疼痛。超声引导下针吸灌洗已显示出有前景的结果。关节镜下切除术仍是伴有如肩袖撕裂等并发症患者以及无并发症患者的最终治疗方法。在钙化性肌腱炎中，初始评估、功能维持以及治疗方式的恰当选择决定预后。
