慢性钙化性冈上肌腱炎的关节镜下治疗

Arthroscopic therapy for chronically calcified supraspinatus tendinitis

  • 摘要: 目的: 探讨关节镜下治疗慢性钙化性冈上肌腱炎的手术方法与效果。方法: 采用关节镜下手术治疗37例钙化性冈上肌腱炎患者,评估其术前、术后的X光片表现,采用视觉模拟法疼痛评分(VAS),Constant-Murley评分和美国肩肘关节外科医师协会评分系统(ASES)分析患者术后的改善情况。结果: 所有患者症状均得以缓解,5例患者术后X光片仍残留部分钙化灶,患者VAS、Constant-Murley及ASES评分均较术前改善(P<0.05)。结论: 关节镜下手术治疗钙化性冈上肌腱炎效果确切,尤其对保守治疗效果不佳的患者,是一种安全有效的治疗途径。

     

    Abstract: Objective: To analyze the outcome and operation techniques of arthroscopic removal of calcified supraspinatus tendinitis. Methods: Arthroscopic operation was performed in 37 patients with calcified supraspinatus tendinitis.Shoulder function of the patients was evaluated using the constant-Murley score,VAS,ASES and radiographs before and after operation. Results: The shoulder function of patients was improved,and the symptoms were disappeared or partially disappeared after operation.The radiographs showed reservation of partially calcified deposit in 5 patients.The shoulder function of patients according to the constant-Murley score,VAS,ASES was significantly improved. Conclusion: Arthroscopic therapy is a safe and effective treatment modality for patients with calcified supraspinatus tendinitis,especially for those with a poor outcome of conservative treatment.

     

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