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International Orthopaedics

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01-04-2021 | Ultrasound | Original Paper

Arthroscopic removal of arch-shaped rotator cuff calcifying tendinitis without rotator cuff repair and acromioplasty is an excellent treatment regarding pain relief and function

Authors: Nenad Medancic, Mario Spanic, Tea Budimir Marinic, Hrvoje Klobucar, Nikola Cicak

Published in: International Orthopaedics | Issue 4/2021

Abstract

Purpose

The aim of this study is to evaluate clinical outcome for arthroscopic removal of calcium deposit without acromioplasty and rotator cuff repair for patients with ultrasound-diagnosed arch-shaped calcifying tendinitis of the rotator cuff (type I), homogenic (x-ray) with chronic pain.

Methods

We retrospectively reviewed 50 patients with homogenous, arch-shaped calcifying tendinitis, suffering from chronic pain and who underwent arthroscopic treatment and 50 patients with the same type of tendinitis treated conservatively. All patients had calcium deposit located in supraspinatus tendon, pre-operatively and post-operatively evaluated by ultrasound. Clinical outcome was assessed by using Quick DASH, UCLA, and VAS score.

Results

There were 29 male and 71 female patients; none had bilateral involvement. We divided patients into group A—operatively treated—and group B—conservatively treated—by shock wave therapy. Patients from group A had higher improvement of all used tests, QDash (from 19.3 to 2.7), UCLA (from 10 to 34), and VAS score (from 3 to 0) when compared with group B.

Conclusion

Patients with arch-shaped calcium deposits and acoustic shadow have better results after arthroscopic treatment than the conservative one. There was no need for acromioplasty or tendon repair. The lack of performing the same did not have any impact on the post-operative rehabilitation and recovery.

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Title: Arthroscopic removal of arch-shaped rotator cuff calcifying tendinitis without rotator cuff repair and acromioplasty is an excellent treatment regarding pain relief and function
Authors: Nenad Medancic
Mario Spanic
Tea Budimir Marinic
Hrvoje Klobucar
Nikola Cicak
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Conservative Therapy
Shockwave Therapy
Ultrasound
Tendinitis
Published in: International Orthopaedics / Issue 4/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04930-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Arthroscopic removal of arch-shaped rotator cuff calcifying tendinitis without rotator cuff repair and acromioplasty is an excellent treatment regarding pain relief and function

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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