Offene Operationsverfahren bei Tendinosis calcarea der Schulter - Begleitpathologien beeinflussen das Operationsergebnis

Autor: Markus A. Maier, H. J. Refior, Hans Trouillier, Krauter T, Christoph von Schulze Pellengahr, Christoph Schulz, Anetzberger H
Rok vydání: 2002
Předmět:
Zdroj: Zeitschrift für Orthopädie und ihre Grenzgebiete. 140:656-661
ISSN: 1438-941X
0044-3220
DOI: 10.1055/s-2002-36033
Popis: Aim of the study: Open surgical removal of calcifications in chronic courses of calcifying tendinitis of the shoulder can be combined with acromioplasty. Independent of the surgical procedure not all patients achieve satisfactory surgical results. The aim of the study was to investigate whether preoperatively known epidemiologic, social, clinical and radiologic factors or intraoperative findings might influence the therapeutic outcome. Methods: Following diagnostic arthroscopy, open removal of the calcifications was done as an isolated procedure (group A, n = 12) or combined with open acromioplasty (group/B, n = 24). Follow-up was 33 months for both groups. Results: Clinical outcomes were comparable in both groups (Group A, 74.9 points; Group B 73.4 points, Constant-Murley score) and independent of gender, age, profession, duration of anamnesis, hospital-stay period, follow-up period, dominance of arm, preoperative Constant-Murley score, calcification morphology and size and acromial type. 20 patients in total achieved a clinical outcome of ≤ 75 points (Constant-Murley score). 12 of these demonstrated lesions of the rotator cuff and joint cartilage combined with synovialitis. In 6 patients an adverse preoperative Constant-Murley score or the wish to receive a pension was recorded. Conclusion: Both surgical procedures lead to overall good and satisfactory clinical results. Below average clinical outcomes are associated with pathologic findings of the glenohumeraljoints, adverse preoperative clinical situation or the wish to receive a pension.
Databáze: OpenAIRE
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