手術的治療を行った肩石灰性けん炎の検討

概要

論文の詳細を見る
Conservative treatments are usually successful in many cases of calcific tendonitis of the shoulder. Surgical treatments are performed on patients who failed to respond to conservative treatments. The purpose of this study is to clarify the effects of surgical treatment. Six cases of surgical procedure were followed up. The four cases were open procedures and the last two underwent arthroscopical operation. Manipulations were required in two cases for contractures. Rotator cuff sutures were performed on four cases of more than 10 mm defect. Acromioplasty was added in a case of subarcomional impingement. Calcific deposits disappeared in all cases but a open case. In open cases, the mean preoperative and post operative JOA scores were 68 and 96 points respectively. In arthroscopic cases, they were 63 and 97 points respectively. Surgical treatment with additional procedures such as manipulation, rotator cuff suture and acromioplasty, are effective for patients resisting conservative treatments.
西日本整形・災害外科学会の論文