Results of treatment of the calcific tendinitis of the shoulder supraspinatus muscle tendon
DOI:
https://doi.org/10.14739/2310-1210.2017.6.115257Keywords:
shoulder joint, outcome assessment (health care), calcinosisAbstract
The aim of the study was to identify and compare the results of conservative and surgical treatment of the calcific tendinitis of the shoulder supraspinatus muscle tendon.
Materials and methods. The clinical group consisted of 120 patients with calcific tendinitis of supraspinatus tendon. All patients were divided into two groups, according to the operative or conservative treatment, each of these groups have been subdivided into two (with calcific deposits less or more than 1.5 cm in length) according to Bosworth radiological classification.
Conservative treatment ("needling") included: evacuation of calcific deposits with saline under ultrasound control with subsequent injection of prolonged corticosteroid into the subacromial space, use of nonsteroid anti-inflammatory drugs, physiotherapy. Surgical treatment included: evacuation of calcium deposits from the tendon followed by rotator cuff repair and biceps tendon tenodesis at the proximal third of the intertubercular groove.
Results. In the majority of patients, after the "needling" of little - 1.5 cm calcific deposits (55 patients - 45.8%) clinical and radiographic healing occurred in 2 weeks after procedure. The level of pain in average was 2,39 ± 0,39 points according to VAS scale and function of the shoulder joint has increased in average to 40,26 ± 4,39 points on Oxford Shoulder Score. In 3 months after treatment begining, the best average results were obtained in patients with calcific deposits less than 1.5 cm - 43 ± 3,8 points on Oxford Shoulder Score, the worst 26 ± 4,8 points - in patients with calcific deposits bigger than 1.5 cm who underwent conservative treatment (р≤0,05).
Conclusions. In group of patients after surgical treatment, size of calcific deposits did not significantly affect the treatment result (р≤0,01). Slightly better results were obtained in patients with calcific deposits size less than1.5 cm - 39 ± 3,8 points on Oxford Shoulder Score.
References
Burkhart, S. S., Lo, I. K. Y., & Brady, P. C. (2006). Burkhart’s View of the Shoulder. A Cowboy’s guide advanced shoulder Arthroscopy. Philadelphia: Lipp. W&W.
Hurt, G., Jr. Baker, C. L. (2003). Calcific tendinitis of the shoulder. Orthop. Clin. North. Am., 34, 567–75.
Habermeyer, P., Magosch, P., & Lichtenberg, S. (2006) Classifications and Scores of the Sholder. Springer, Berlin.
Katolik, L. I., Romeo, A. A., Cole, B. J., Verma, N. N., Hayden, J. K., & Bach, B.R. (2005) Normalization of the Constant score. J. Shoulder Elbow Surg., 14, 279–285. doi: 10.1016/j.jse.2004.10.009.
Rockwood, Ch. A., & Masten, F. A. (2009) The Shoulder. Philadelphia: Sounders Elsevier.
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
