鏡視下手術を行った石灰沈着性腱板炎の検討

概要

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For calcified tendonitis 10 cases which did not improve by conservative treatment, we performed arthroscopic surgery and evaluated the results. 10 patients who underwent arthroscopic surgery from 2005 to 2008 were followed-up for more than 6 months. The mean follow-up period was 15 months. Patients were 6males and 4females. The average age at surgery was 51 years old. We performed ASD and arthroscopic resection of calcium deposit in all cases. The clinical results were evaluated by means of JOA scores before and after operation. JOA scores were improved from 75 points preoperatively to 94 points postoperatively on average. In case 1, persistence of calcium was seen in postoperative Xrays, and pain had improved but night pain lasted for about 4 months. In case 2, we confirmed that there was no persistence of calcium in perioperative Xrays and completely resected the calcium deposit. In this case, the JOA score was remarkably improved in the postoperative 2 weeks. In case 4 with joint contracture and case 5 with articular side tear of calcareous deposition locus, we needed 6 months and 2 months for symptom improvement in each postoperative rehabilitation. It was important that we confirm not the remainder of calcium by perioperative X-ray and it seemed that it was desirable to completely resect the calcium deposit. We need several months till a symptom is improves in cases having joint contracture, partial rotator cuff tear and degeneration.
2009-07-27