Arthroscopic Treatment for Calcific Tendinosis of the Rotator Cuff

Surgical management of chronic calcified tendonitis is controversial. Indications include progression of symptoms or absence of symptom improvement despite conservative treatment and constant pain interfering with ADL. The current study evaluated the effectiveness of surgical management of chronic calcified tendinitis of the shoulder joint. Twenty consecutive patients (12 men, 8 women) received arthroscopic treatment of chronic shoulder pain due to calcified tendinopathy beginning in December of 1996. The average age of these patients was 47.3 years (range, 38-62 years), mean duration of symptoms was 9.3 (range, 6-15) months, mean number of recurrent episodes of shoulder pain was 3.5 (range, 2-7), and mean follow-up time was 13 months. The objective and subjective satisfactory success rates of arthroscopic management were 90% and 80%, respectively, and complete disappearance of calcified deposits was noted in 90% of cases (18/20). The Constant scoring system, adopted for the evaluation of the shoulder function, showed 53.5 points preoperatively and 85.5 postoperatively (P＜0.05). One recurrence, which did not involve secondary rotator cuff tear, occurred 4 years after arthroscopic treatment. Calcific tendinosis of the shoulder is usually resolved after conservative medical treatment, but 10% of patients resistant to such treatment require surgery .The most favorable results were obtained in patients with the longest interval between onset of the disease and intervention (＞1 year) and with a progressive course of disease. Acromioplasty was not usually routine, but was indicated if impingement was noted. Arthroscopic surgery was a very effective method for the management of chronic calcified tendonitis of the shoulder joint.

並列關鍵字

calcification ； arthroscope ； rotator cuff ； acromioplasty

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