摘要
Abstract
Objective:To investigate the early efficacy of arthroscopic surgery for chronic calcifying supraspinatus tendinitis . Methods:From Mar.2013 to Sep.2015,16 patients with calcifying tendinitis of the supraspinatus were treated with shoulder arthrosco -py.All patients underwent arthroscopic calcium excision and subacromial decompression ,and were followed up in the preoperation and the postoperative 3,6,12,18 months.The preoperative and postoperative clinical efficacy were evaluated by the American shoulder and elbow surgeons score (ASES),Constant-Murley scores (CMS) and visual analogue scale (VAS) pain scores.Besides,the time of re-covering functional exercise was recorded .Results:Sixteen patients were followed up for 18 to 24 months,with the average of (20.4 ± 1.7) months.ASES scores were improved from (48.32 ±9.45) points preoperatively to (89.15 ±4.84) points postoperatively in the last follow-up,the difference was statistically significant (t=-15.35,P<0.01).CMS scores were increased from (54.69 ±7.25) points preoperatively to (95.34 ±5.06) points postoperatively in the last follow-up,the difference was statistically significant (t=-11.78,P<0.05).VAS pain scores were decreased from (8.26 ±1.37) points preoperatively to (2.13 ±1.05) points postoperatively in the last follow-up,the difference was statistically significant (t=-14.89,P<0.01).In the average of postoperative (16.9 ±2.4) d, 16 patients recovered to the normal .After treatment,the shoulder symptoms improved significantly ,and the range of motion increased significantly than before .Conclusions:The arthroscopic treatment for the chronic calcific supraspinatus tendinitis is reliable ,effective , mini-invasive therapy with quick recovery and radical removal of lesions ,and the early follow-up results are satisfactory .关键词
肌腱病/肩关节/钙质沉着症/关节镜检查Key words
Tendinopathy/Shoulder joint/Calcinosis/Arthroscopy分类
医药卫生
