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Functional Recovery of the Shoulder after Arthroscopic Treatment for Chronic Calcific Tendinitis 원문보기

Clinics in shoulder and elbow, v.21 no.2, 2018년, pp.75 - 81  

Lee, Tae Kyoung (Department of Orthopedic Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine) ,  Shin, Sang-Jin (Department of Orthopedic Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine)

Abstract AI-Helper 아이콘AI-Helper

Background: We investigated the resolution of pain and functional recovery of shoulder after arthroscopic removal of calcific deposits in patients with chronic calcific tendinitis. Methods: We enrolled 39 patients who were treated arthroscopically for chronic calcific tendinitis that had been non-re...

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제안 방법

  • We conducted arthroscopic removal of the calcific deposits in the lateral position. After making a general assessment of the intraarticular lesion, we moved the arthroscope through the posterior portal into the subacromial space. Then through the anterior portal, we performed capsular release to expose the rotator cuff and the calcific deposits.
  • At each follow-up, we assessed the passive ROM of the affected shoulder with a full-circle manual goniometer, measuring anterior flexion, abduction, external rotation (at 0° of abduction), and internal rotation behind the back.
  • We used a retrospec- tive study design, meaning that our analyses of data are based primarily on patient records, and a relatively small study population. The study design did not include a control treatment, such as a conservative treatment (e.g., sono-guided needling), that would have enabled us to demonstrate the superiority of the surgical method over the conservative method. Moreover, we did not investigate whether the type of cuff repair (simple sideto-side repair vs.
  • We conducted follow-up examinations of our patients at the following three time points: 3 months, 6 months, and 12 months postoperatively. To evaluate size, location, and resorption of the calcific deposits, we conducted plain radiography in the anteroposterior, axillary, and supraspinatus outlet views before and after the surgical treatment (at each follow-up).We conducted preoperative MRI to assess the presence of concomitant diseases.
  • We conducted follow-up examinations of our patients at the following three time points: 3 months, 6 months, and 12 months postoperatively. To evaluate size, location, and resorption of the calcific deposits, we conducted plain radiography in the anteroposterior, axillary, and supraspinatus outlet views before and after the surgical treatment (at each follow-up).

대상 데이터

  • We excluded 12 of 51 patients from our data analysis for the following reasons: lost to follow-up (9 patients) and calcific tendinitis locating to the subscapularis tendon (3 patients). Our final study population consisted of 39 patients (12 male and 27 female patients). The average age of the patients was 54.

데이터처리

  • , Armonk, NY, USA) for all statistical analyses. To compare the difference between the pre- and postoperative clinical parameters, we performed the Wilcoxon signed rank test. To assess whether the clinical outcome differed in terms of whether a cuff repair was performed concomittantly or whether the calcific deposits were completely or incompletely removed, we used the Mann-Whitney test.

이론/모형

  • To compare the difference between the pre- and postoperative clinical parameters, we performed the Wilcoxon signed rank test. To assess whether the clinical outcome differed in terms of whether a cuff repair was performed concomittantly or whether the calcific deposits were completely or incompletely removed, we used the Mann-Whitney test. A p<0.
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참고문헌 (23)

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  19. 19 Maier D Jaeger M Izadpanah K Arthroscopic removal of chronic symptomatic calcifications of the supraspinatus tendon without acromioplasty: analysis of postoperative recovery and outcome factors Orthop J Sports Med 2014 2 5 2325967114533646 26535331 

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