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关节镜治疗肩袖上罕见的肌内羟基磷灰石晶体沉积

Arthroscopic Treatment of an Unusual Intramuscular Calcium Hydroxyapatite Crystal Deposit on the Rotator Cuff.

作者信息

Stirma Guilherme Augusto, Chaves Deginaldo Holanda, Belangero Paulo Santoro, Andreoli Carlos Vicente, de Castro Pochini Alberto, Ejnisman Benno

机构信息

Department of Orthopedics and Traumatology, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.

出版信息

Arthrosc Tech. 2019 Sep 19;8(10):e1093-e1097. doi: 10.1016/j.eats.2019.05.027. eCollection 2019 Oct.

DOI:10.1016/j.eats.2019.05.027
PMID:31921579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6948138/
Abstract

Hydroxyapatite crystal deposition disease and its pathophysiology are poorly understood; however, it is known that calcific tendinitis is the most common condition related to this deposition in the upper limb. Movement of the crystals toward the myotendinous junction is rare; to the best of our knowledge, only 19 cases have been described in the literature, one of which was a case of intramuscular deposition without migration. The purpose of this technical note is to describe the technical details of the arthroscopic treatment of intramuscular calcium hydroxyapatite deposits without intratendinous migration.

摘要

羟基磷灰石晶体沉积病及其病理生理学尚不清楚;然而,已知钙化性肌腱炎是上肢与此类沉积相关的最常见病症。晶体向肌腱结合处移动的情况很少见;据我们所知,文献中仅描述了19例,其中1例为无迁移的肌肉内沉积病例。本技术说明的目的是描述关节镜治疗无肌腱内迁移的肌肉内羟基磷灰石钙沉积的技术细节。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/12352cc249a8/gr10.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/3b389ce65bf7/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/d40d8b756170/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/12352cc249a8/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/403252a7ed54/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/f8ee029b65f7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/5772899452f4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/9c1ac00fdfb4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/4af7014a6851/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/57181eaea1cb/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/6512e7d71d9f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/3b389ce65bf7/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/d40d8b756170/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba1/6948138/12352cc249a8/gr10.jpg

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本文引用的文献

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Intramuscular migration of calcific tendinopathy in the rotator cuff: ultrasound appearance and a review of the literature.肩袖钙化性肌腱炎的肌内迁移:超声表现及文献综述
J Ultrasound. 2016 Mar 25;19(3):175-81. doi: 10.1007/s40477-016-0202-9. eCollection 2016 Sep.
2
Intramuscular migration of calcium hydroxyapatite crystal deposits involving the rotator cuff tendons of the shoulder: report of 11 patients.羟基磷灰石晶体沉积物在肩部旋转袖肌腱内的肌肉内迁移:11例患者报告
Skeletal Radiol. 2016 Jan;45(1):97-103. doi: 10.1007/s00256-015-2255-9. Epub 2015 Sep 19.
3
Atypical localizations of calcific deposits in the shoulder.
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