Intraosseous calcific tendinitis of the rotator cuff yields similar outcomes to those of intratendinous lesions despite worse preoperative scores.

Autor: Caliskan, Emrah, Eren, Ilker, Aslan, Lercan, Koyuncu, Ozgur, Seyahi, Aksel, Demirhan, Mehmet
Zdroj: Knee Surgery, Sports Traumatology, Arthroscopy; Jul2022, Vol. 30 Issue 7, p2485-2491, 7p, 1 Color Photograph, 1 Black and White Photograph, 3 Charts
Abstrakt: Purpose: To evaluate the surgical outcomes of arthroscopic removal of intraosseous deposits in patients with intraosseous calcific tendinitis of the rotator cuff. Methods: This study involved a retrospective review of 96 patients operated on from 2004 to 2019. Patients were divided into two groups according to the location of calcific deposits. Group I had pure tendinous involvement (n = 71), and Group II had tendinous and intraosseous involvement (n = 25). The mean follow-up time was 6.4 ± 3.9 years. There were 71 patients (46 women, 25 men) in Group I, and the mean age was 49.3 ± 8.2 years (range 30–65 years). In group II, there were 25 patients (18 women, 7 men); the mean age was 47.3 ± 11.2 years (range 28–70 years). Results: The mean preoperative VAS pain score was 8.8 ± 1.4 in Group I compared to 9.5 ± 0.5 in group II (p = 0.017). The median preoperative Constant and Oxford scores were 42 (20–65) and 22 (8–34) in Group I and 25.5 (22–46) and 10 (8–16) in group II, respectively (p < 0.001). There was no difference in postoperative pain scores (Group I: 0.7 ± 1.6 and group II: 0.5 ± 0.6, p = 0.926), Constant scores [Group I: 100 (80–100) and group II: 100 (90–100), (n.s).] and Oxford scores [Group I: 48 (28–48) and group II: 46.5 (4–48), (n.s.)] between the two groups. The number of preoperative injections was higher in Group II (p = 0.05). There was no correlation between the size of the soft tissue calcific deposit and the preoperative pain, Constant, and Oxford scores (n.s.). Conclusion: Arthroscopic debridement of calcific tendinitis with intraosseous involvement is a safe and effective treatment method similar to that of pure tendinous involvement. Level of evidence: III. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
Externí odkaz: