ISSN:
1433-044X
Schlagwort(e):
Schlüsselwörter Tendinitis calcarea
;
Arthroskopische Entfernung
;
Akromioplastik
;
Key words Calcific tendinitis
;
Arthroscopic removal
;
Acromioplasty
Quelle:
Springer Online Journal Archives 1860-2000
Thema:
Medizin
Beschreibung / Inhaltsverzeichnis:
In a retrospective analysis we evaluated 48 patients who had been arthroscopically treated for tendinitis calcarea. The calcific deposit was removed whenever possible and all patients were treated by arthroscopic subacromial decompression. In subjects who showed subacromial stenosis by X-ray or by intraoperative findings, an arthroscopic acromioplasty was performed. At follow-up all patients were evaluated according to the Constant score. Additionally all pre- and postoperative X-rays were reviewed. After surgery the Constant score significantly improved. In all cases where acromioplasty was performed, a flattening of the bony configuration was achieved. The X-ray analysis showed that no calcific deposit with blurred borders converted to sharp borders. There was also no deposit that converted from a transparent appearance to a dense structure. Patients with disappearance of the calcific deposit postoperatively had significantly better outcome than patients with no change in the X-ray. An additional acromioplasty did not improve the results. The aim of arthroscopic treatment of calcific tendinitis has to be the removal of the calcific deposit. Acromioplasty does not lead to further improvement of the result.
Notizen:
Klinische Relevanz: Ziel der arthroskopischen Therapie der Tendinitis calcarea muß die Entfernung des Kalkdepots sein. Eine Akromioplastik bringt keine Vorteile.
Materialart:
Digitale Medien
URL:
http://dx.doi.org/10.1007/s001130050078
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