[1]梁洪宾 胡亚黎 秦立武△ 王友强 姜红江.关节镜下冈上肌腱钙化性肌腱炎治疗13例[J].中国中医骨伤科杂志,2021,29(11):55-57.
 LIANG Hongbin HU Yali QIN Liwu WANG Youqiang JIANG Hongjiang.13 Cases Clinical Study for Arthroscopy in Treating Calcified Tendonitis of the Supraspinatus Tendon[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(11):55-57.
点击复制

关节镜下冈上肌腱钙化性肌腱炎治疗13例()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年11期
页码:
55-57
栏目:
临床报道
出版日期:
2021-11-15

文章信息/Info

Title:
13 Cases Clinical Study for Arthroscopy in Treating Calcified Tendonitis of the Supraspinatus Tendon
文章编号:
1005-0205(2021)11-0055-03
作者:
梁洪宾1 胡亚黎1 秦立武1△ 王友强1 姜红江
Author(s):
LIANG Hongbin1 HU Yali1 QIN Liwu1△ WANG Youqiang1 JIANG Hongjiang1
1Wendeng Osteopathy Hospital of Shandong Province, Weihai 264400, Shandong China.
关键词:
冈上肌腱钙化性肌腱炎 关节镜 肩袖
Keywords:
calcified tendonitis of the supraspinatus tendon arthroscopy rotator cuff
分类号:
R686.1
文献标志码:
B
摘要:
目的:探讨肩关节镜下单纯清理钙化灶,对于受累肌腱不加以缝合的手术方案治疗冈上肌钙化性肌腱炎的临床疗效。方法:回顾分析2019年1月至2020年12月收治的冈上肌腱钙化性肌腱炎患者13例,男4例,女9例; 年龄35~68岁,中位数54岁; 左侧5例,右侧8例。术中均行关节镜下钙化灶清理,未缝合。术前、术后及后期复查均采用视觉模拟评分法(VAS)疼痛评分、Constant-Murley 评分及满意度评估来评价患者恢复情况。结果:13例患者术后平均随访6.4~10.8个月,症状均明显改善,VAS疼痛评分由术前(8.2±1.4)分至术后 6 个月(0.8±0.6)分,Constant-Murley 评分由术前(43.2±7.4)分至术后 6 个月(85.8±5.6)分,差异均有统计学意义(P<0.05)。结论:关节镜下单纯清理钙化灶,不缝合肌腱,是一种治疗冈上肌腱钙化性肌腱炎的有效方法,手术损伤较小,患者满意度较高。
Abstract:
Objective:To investigate the clinical efficacy simple cleaning of calcified focus and no suture of the affected tendon under arthroscopy for calcified tendonitis of supraspinatus tendon.Methods:13 patients with supraspinatus tendonitis with calcified tendonitis admitted from January 2019 to December 2020 were retrospectively analyzed.There were 4 males and 9 females ranging in age from 35 to 68 years old with a median age of 54 years old.There were 5 cases on the left side and 8 cases on the right.Arthroscopic clearance of calcification was performed without suture during the operation.Visual analogue score,Constant-Murley score and satisfaction evaluation were used to evaluate the recovery of patients before and after surgery and later review.Results:The 13 patients were followed up for 6.4 to 16.8 months on average, and their symptoms improved significantly,visual analogue scores ranged from(8.2±1.4)scores preoperatively to(0.8±0.6)scores 6 months postoperatively, Constant-Murley scores ranged from(43.2±7.4)scores preoperatively to(85.8±5.6)scores 6 months postoperatively,the differences were statistically significant(P<0.05).Conclusion:It is an effective method to treat supraspinatus tendonitis by simply cleaning the calcified focus without suturing the tendon under arthroscopy.This method has less surgical injury and higher patient satisfaction.

参考文献/References:

[1] PORCELLINI G,PALADINI P,CAMPI F,et al.Arthroscopic treatment of calcifying tendinitis of the shoulder:clinical andultra-sonographic follow-up findings at two to five years[J ].Shoulder Elbow Surg,2004,13(5):503-508.
[2] DE WITTE P B,SELTEN J W,NAVAS A,et al.Calcific tendinitis of the rotator cuff:a randomized controlled trial of ultrasound-guided needling and lavage versus subacromial corticosteroid [J].Am J Sports Med,2013,41(7):1665-1673.
[3] 石洋,曾瑞瑞.体外冲击波治疗肩部钙化肌腱炎临床疗效Meta 分析[J].中国中医骨伤科杂志,2017,25(12):26-30.
[4] GREIS A C,DERRINGTON S M,MCAULIFFE M.Evaluation and nonsurgical management of rotator cuff calcific tendinopathy [J].Orthop Clin North Am,2015,46(2):293-302.
[5] 胥少汀,葛宝丰,徐印坎,等.实用骨科学[M].北京:人民军医出版社,2014:1908-1909.
[6] OLIVA F,VIA A G,MAFFULLI N.Calcific tendinopathy of the rotator cuff tendons[J].Sports Med Arthrosc,2011,19(3):237-243.
[7] RANALLETTA M,ROSSI L A,BONGIOVANNI S L,et al.Arthroscopic removal and rotator cuff repair without acromioplasty for thr treatment of symptomatic calcifying tendinitis of the supraspinatus tendon[J].Orthop J Sports Med,2015,3(4):23-25.
[8] 谭敏枝,吴美平,冉彩霞,等.肩关节镜下治疗冈上肌钙化性肌腱炎30例[J].中国中医骨伤科杂志,2019,27(8):63-67.
[9] KACHEWAR S G,KULKARNI D S.Calcific tendinitis of the rotator cuff:a review[J].J Clin Diagn Res,2013,7(7):1482-1485.
[10] LOUWERENS J K,SIEREVELT I N,VAN HOVE R P,et al.Prevalence of calcific deposits within the rotator cuff tendons in adults with and without subacromial pain syndrome:clinical and radiologic analysis of 1 219 patients[J].J Shoulder Elbow Surg,2015,24(10):1588-1593.
[11] 商晓军,李欢,丁文鸽.关节镜治疗钙化性冈上肌腱炎的疗效观察[J].中国矫形外科杂志,2015,23(17):1621-1623.
[12] 梅晓亮,张震祥,朱伟,等.肩关节镜治疗钙化性冈上肌腱炎的疗效观察[J].临床骨科杂志,2018,21(6):683-686.
[13] MARDER R A,HEIDEN E A,KIM S.Calcific tendonitis of the shoulder:is subacromial decompression in combination with removal of the calcific deposit beneficial[J].J Shoulder Elbow Surg,2011,20(6):955-960.

备注/Memo

备注/Memo:
1山东省文登整骨医院(山东 威海,264400)
通信作者 E-mail:wuliqin65@163.com
更新日期/Last Update: 1900-01-01