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关节镜超声引导下针刺:治疗钙化性肩袖肌腱病的有效技术。

Arthroscopic Ultrasound-Guided Needling: An Effective Technique for the Treatment of Calcific Rotator Cuff Tendinopathy.

作者信息

Martinel Vincent, Fermandois-Maltes Patricio

机构信息

Groupe Orthopédie Ormeau Pyrénées, ELSAN - Polyclinique de l'Ormeau, Tarbes, France.

出版信息

Arthrosc Tech. 2021 Jul 26;10(8):e2021-e2026. doi: 10.1016/j.eats.2021.04.031. eCollection 2021 Aug.

DOI:10.1016/j.eats.2021.04.031
PMID:34401249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8355534/
Abstract

Calcifying tendinopathies of the rotator cuff that do not respond to conservative treatment may require arthroscopic removal. Intraoperative localization of calcifications can be difficult and is usually performed by bursal needle probing. We present a surgical technique combining arthroscopy and intraoperative ultrasonography based on the ultrasound-guided needle technique to precisely and rapidly locate even small calcium deposits. The modalities may differ depending on tendon topography. This nonirradiating technique with this compact device should be more widely used.

摘要

对保守治疗无反应的肩袖钙化性肌腱病可能需要关节镜下切除。钙化灶的术中定位可能困难,通常通过滑囊穿刺针探查进行。我们提出一种基于超声引导穿刺针技术的关节镜与术中超声相结合的手术技术,以精确、快速地定位即使是小的钙沉积。根据肌腱的形态,操作方式可能有所不同。这种使用紧凑型设备的无辐射技术应得到更广泛的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/2c07f2627fde/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/3a40f9324e90/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/dcfd8112ae14/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/f270c05e9a6c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/a6bef3646bcd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/7ef4c58d93e5/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/9f9050f79e5c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/f6395a82c403/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/2c07f2627fde/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/3a40f9324e90/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/dcfd8112ae14/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/f270c05e9a6c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/a6bef3646bcd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/7ef4c58d93e5/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/9f9050f79e5c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/f6395a82c403/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df76/8355534/2c07f2627fde/gr8.jpg

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本文引用的文献

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Role of Ultrasound in the Detection of Rotator-Cuff Syndrome: An Observational Study.超声在肩袖综合征检测中的作用:一项观察性研究。
Med Sci Monit. 2019 Aug 6;25:5856-5863. doi: 10.12659/MSM.915547.
3
Calcific tendinopathy of the shoulder: clinical perspectives into the mechanisms, pathogenesis, and treatment.
术中超声能否改善肩袖关节镜下钙化灶清除术中的临床和影像学结果?
JSES Int. 2024 Jun 14;8(5):1029-1032. doi: 10.1016/j.jseint.2024.06.001. eCollection 2024 Sep.
4
Intraosseous migration of supraspinatus calcification: benefits of intraoperative ultrasound technique.冈上肌钙化的骨内迁移:术中超声技术的优势
JSES Rev Rep Tech. 2023 Oct 23;4(2):276-283. doi: 10.1016/j.xrrt.2023.09.012. eCollection 2024 May.
肩部钙化性肌腱炎:关于其机制、发病机制及治疗的临床观点
Orthop Res Rev. 2018 Oct 3;10:63-72. doi: 10.2147/ORR.S138225. eCollection 2018.
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Short-Term Outcome After Arthroscopic Bursectomy Debridement of Rotator Cuff Calcific Tendonopathy With and Without Subacromial Decompression: A Prospective Randomized Controlled Trial.肩袖钙化性肌腱炎关节镜下滑囊切除术清创术伴或不伴肩峰下减压的短期疗效:一项前瞻性随机对照试验
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Arthroscopy. 2004 Jul;20 Suppl 2:103-4. doi: 10.1016/j.arthro.2004.04.024.
10
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Arthroscopy. 1998 Jul-Aug;14(5):540-2. doi: 10.1016/s0749-8063(98)70088-x.