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术前对钙沉积进行超声定位有助于在关节镜手术治疗肩袖钙化性肌腱炎时进行定位。

Preoperative ultrasonographic mapping of calcium deposits facilitates localization during arthroscopic surgery for calcifying tendinitis of the rotator cuff.

作者信息

Rupp S, Seil R, Kohn D

机构信息

Department of Orthopaedic Surgery, University Hospital, University of Saarland, Homburg/Saar, Germany.

出版信息

Arthroscopy. 1998 Jul-Aug;14(5):540-2. doi: 10.1016/s0749-8063(98)70088-x.

DOI:10.1016/s0749-8063(98)70088-x
PMID:9681552
Abstract

Calcifying tendinitis is a relatively common disorder of the rotator cuff. For symptomatic patients, excision of the calcium deposits offers reliable pain relief. The arthroscopic technique is demanding. Arthroscopic localization of the deposit is frequently demanding. The technique described in this article facilitates the localization of calcium deposits based on preoperative ultrasonography. Knowing the exact topography of the deposit relative to the visible landmarks allows the surgeon to localize the site of the deposit from the intra-articular view. Probing the rotator cuff with a spinal needle and looking for calcific material at the tip of the needle is an important step in verifying the location of the deposit.

摘要

钙化性肌腱炎是肩袖相对常见的一种疾病。对于有症状的患者,切除钙沉积物可提供可靠的疼痛缓解。关节镜技术要求较高。关节镜下定位沉积物通常很困难。本文所述技术基于术前超声检查有助于钙沉积物的定位。了解沉积物相对于可见标志的确切局部解剖位置,可使外科医生从关节内视野定位沉积物部位。用脊椎穿刺针探查肩袖并在针尖寻找钙化物质是核实沉积物位置的重要步骤。

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