Jerosch J, Strauss J M, Schmiel S
Orthopaedic Hospital, Munich-Harlaching, Department of Orthopaedic Surgery, Heinrich-Heine University, Düsseldorf, Germany.
J Shoulder Elbow Surg. 1998 Jan-Feb;7(1):30-7. doi: 10.1016/s1058-2746(98)90180-x.
We evaluated 48 patients arthroscopically treated for calcific tendinitis. All patients' were treated by removal of the calcific deposit whenever possible and resection of the coracoacromial ligament. Those cases showing evidence of subacromial stenosis by x-ray evaluation or intraoperative findings were treated with an arthroscopic arcromioplasty during the same procedure. For postoperative functional assessment we used the Constant score. After surgery the Constant score significantly improved. All patients who were treated by acromioplasty showed significant flattening of the bony configuration of the acromion. The x-ray review showed that none of the blurred calcific deposits regained sharper borders after operation and also that no transparent deposit was converted into a denser appearance after the procedure. Those patients with postoperative elimination or reduction of the calcific deposits had significantly better outcomes than those who had no radiographic change. Acromioplasty did not improve the results. The aim of arthroscopic treatment in calcific tendinitis is to remove the calcific deposit.
我们对48例接受关节镜治疗的钙化性肌腱炎患者进行了评估。所有患者尽可能接受了钙化沉积物清除及喙肩韧带切除术。那些经X线评估或术中发现有肩峰下狭窄证据的病例，在同一手术过程中接受了关节镜下肩峰成形术。术后功能评估采用Constant评分。术后Constant评分显著改善。所有接受肩峰成形术治疗的患者，肩峰的骨质形态均有明显变平。X线复查显示，术后无模糊的钙化沉积物边界重新变清晰，且术后也无透明沉积物转变为更致密的外观。术后钙化沉积物消除或减少的患者，其预后明显优于那些影像学无变化的患者。肩峰成形术并未改善治疗效果。钙化性肌腱炎关节镜治疗的目的是清除钙化沉积物。
