• Clinics in Shoulder and Elbow
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• 제19권4호
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• pp.202-208
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• 2016

Background: Our study aimed to make a comparative analysis of clinical outcomes of arthroscopic decompression for rotator cuff calcific tendinitis by location of calcific deposits and by its size. Methods: We enrolled a total of 38 patients, comprising 39 affected shoulders, who underwent arthroscopic decompression for calcific tendinitis. As our clinical scores, we evaluated the UCLA, the ASES, and the VAS scores and analyzed them by calcific location, by calcific deposit size, by the presence or absence of calcific remnants, and by whether concomitant cuff repair was performed. Results: The clinical scores of those whose calcific deposit had an area greater than $77.0mm^2$ and of those whose calcific deposit had an area smaller than $77.0mm^2$ did not significantly differ (p=0.21 in ASES; p=0.19 in UCLA; p=0.17 in VAS). Nor did the clinical scores significantly differ with respect to the location of calcification (p=0.23). Further, the clinical scores did not significantly differ between those who had calcific remnants and those who did not and between those who received additional cuff repair and those who did not. Conclusions: We found that the clinical outcomes after arthroscopic decompression of calcific tendinitis were not significantly associated with the cuff tendon in which the calcium deposits are found; the location of the calcium deposits in the supraspinatus tendon (if found in this tendon); the size of calcific deposits; the presence of calcific remnants; and concomitant cuff repairs.

• Clinics in Shoulder and Elbow
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• 제23권4호
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• pp.194-197
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• 2020

Calcific tendinitis of the shoulder joint, also known as chemical furuncle of the shoulder, causes intense shoulder pain and usually occurs within 1-2 cm from the insertion of the rotator cuff. We experienced a rare case of calcific tendinitis in the posterosuperior labrum of the shoulder joint in a 39-year-old male patient who presented with severe pain and weakness in the right shoulder. Radiographs and magnetic resonance imaging (MRI) findings showed calcific tendinitis in the posterosuperior labrum of the shoulder joint. A 1-week attempt at conservative treatment failed, so the calcified deposit in the posterosuperior labrum was arthroscopically removed. The patient's symptoms were completely relieved, and satisfactory clinical outcomes were achieved. Postoperative follow-up X-ray and MRI showed no recurrence of calcific tendinitis.

• Clinics in Shoulder and Elbow
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• 제1권1호
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• pp.6-11
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• 1998

Shoulder is a common site for calcific deposit and is frequently asymptomatic. There is a general agreement that calcific tendinitis should be initially treated nonoperatively and excision reserved for cases unresponsive to the conservative measures. There are several reports that arthroscopic excision of symptomatic calcific deposit is proved to be efficient in the calcific tendinitis refractory to nonoperative management. The results of arthroscopic treatment of chronic resistant calcific tendinitis of the shoulder in eleven patients were evaluated. Each patient had shoulder pain for more than one year prior to the arthroscopic surgery. The average age of the patients was 48 years(range 35-70). Arthroscopic calcium removal and subacromial bursectomy was performed in all patients. Arthroscopic acromioplasty was additionally done in four patients. The results turned out to be good in nine patients with full range of motion and complete pain relief. One patient with full motion and occcasional episodes of pain was satisfactory. One patient with persistent pain was unsatisfactory which converted to satisfactory six months later after subacromial injection. So we conclude that the arthroscopic treatment is a reasonable alternative in treatment of the chronic calcific tendinitis resistant to conservative treatment.

• Clinics in Shoulder and Elbow
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• 제3권2호
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• pp.68-74
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• 2000

The purpose of this study is to evaluate the final outcome after arthroscopic calcific removal in the calcific tendinitis of the shoulder joint and to analyze the influencing factors to affect the surgical treatment on the final results. From September, 1993 to March, 2000, arthroscopic removal of the calcific deposit in the shoulder joint was performed in 34 consecutive patients who had had typical symptoms and failed with the conservative treatment and 21 cases of 20 patients could be followed up at least 2 years. Fourteen cases(67%) were located in the supraspinatus, 5 cases(24%) in the infraspinatus and 2 cases(9%) in the subscapularis. Preoperative severity of symptoms was correlated with higher postoperative score. Pain was relieved from 7.6 to 0.9(Visual Analogue Scale:VAS) and UCLA score improved from 13.9 preoperatively to 32.0 postoperatively, but there was no statiscally significant difference in according to the deposit size(P=0.386). Pain and UCLA score improved from 7.9 to 0.4 and from 12.7 to 33.0 respectively when a calcific deposit was located in the supraspinatus, from 7.6 to 1.0 and from 14.8 to 33.4 in the infraspinatus but pain relieved from 6.5 to 4.0 and UCLA score improved from 20.0 to 22.5 in the subscapularis and these outcomes were shown a statiscal significance(P=0.001). Completeness of removal did not affect the final results(P>0,05). Excellent was 23.8% in 5 cases, good 66.7% in 14 cases, fair 4.8% in 1 and poor 4.8% in 1, and patients were satisfied with their final results in 81 %.

• Clinics in Shoulder and Elbow
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• 제25권2호
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• pp.140-144
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• 2022

Background: Ultrasound (US)-guided techniques reported for the treatment of calcific tendinitis have mostly demonstrated good results. This study investigates the effect of US-guided barbotage using a spinal needle in patients with calcific tendinitis of the shoulder. Methods: Thirty-six patients with calcific tendinitis of the shoulder treated by US-guided barbotage with a spinal needle and subacromial steroid injection were included in the study. We evaluated clinical outcomes based on American Shoulder and Elbow Surgeons (ASES) score, Constant score, and visual analog scale (VAS) for pain score. Radiological outcomes were assessed by X-ray imaging at each visit. Results: Our results showed that US-guided barbotage and subacromial steroid injection produced good clinical and radiological outcomes in patients with calcific tendinitis of the shoulder. Of the 36 patients, only one required surgical treatment, while the others showed improvement without any complications. Compared to values before the procedure, calcific deposit size and VAS, ASES, and Constant scores showed significant improvement 6 weeks after the procedure. No significant correlation was found between the initial calcific deposit size and clinical outcomes at each time point. Conclusions: In patients with calcific tendinitis of the shoulder, US-guided barbotage using a spinal needle and subacromial steroid injection can yield satisfactory clinical and radiological results.

• Clinics in Shoulder and Elbow
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• 제14권2호
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• pp.242-247
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• 2011

목적: 골내 침범이 동반된 비전형적인 견관절 석회화 건염 1예를 보고하고자 한다. 대상 및 방법: 만성적인 좌측 견관절 동통의 급성 악화와 운동 제한을 주소로 내원한 59세 여자 환자로 단순 방사선 상 견봉하 석회 침착과 자기 공명 영상 상 감염이나 종양과 유사하게 골 피질을 침범하고 석회 물질이 골 내부로 연장되어 있었다. 관절경하 석회 제거술과 골내 석회의 소파술, 건 결손부에 봉합 나사못을 이용한 회전근 개 봉합술을 시행하였다. 결과: 환자의 급성 견관절 통증은 술 후 즉각적인 호전을 보였고 순조로운 재활 경과와 관절 운동범위의 회복을 보였다. 술 후 5개월에 촬영한 단순 방사선 상 석회 침착의 재발은 관찰되지 않았다. 결론: 견관절 석회화 건염은 주위 골조직으로 연장된 다양한 영상 소견을 나타 낼 수 있으며, 질환을 정확히 판별함으로써 불필요한 검사나 치료를 피할 수 있을 것으로 생각된다.

• 대한관절경학회지
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• 제12권2호
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• pp.98-101
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• 2008

목적: 보존적 치료에 반응이 없는 견관절 석회화 건염에 대하여 관절경 소견상 확인된 시기별 석회화 물질 제거술 시행 후 이에 대한 치료 결과를 평가 하고자 하였다. 대상 및 방법: 2003년 1월부터 2007년 9월까지 극상근 석회화 건염의 진단하에 최소 2개월간의 보존적 치료에 반응이 없어 관절경적 치료를 받은 27예 환자를 대상으로 하였다. 결과 평가는 술 중 석회화의 양상에 따라 대상군을 분류하여 술 후 2주와 6개월의 Visual Analogue Scale를 비교 분석 하였다. 결과: 술 중 석회화 양상이 분필가루와 같은 경우는 11예 이었으며, 치약 같은 양상은 16예 이었다. 술 전 VAS 점수는 각각 평균 8.0 과 8.3 점으로 의미 있는 차이는 보이지 않았다. 술 후 2주에 조사한 VAS 점수는 치약과 같은 양상을 보이는 경우가 평균 2.7점으로 분필가루와 같은 양상을 보인 경우 평균 6.7점에 비해 의미 있는 차이를 보였다. 그러나, 술 후 6개월에 조사한 VAS 점수는 두 군 모두에서 호전을 보였으며, 의미 있는 차이는 보이지 않았다. 결론: 흡수기 소견을 보이는 석회화 건염에서는 조기 결과에서 더욱 빠른 호전을 관찰할 수 있었다. 견관절 석회화 건염의 관절경적 치료에 있어 단기 결과는 수술을 시행하는 시점에서 질환의 진행 단계(phase)가 중요한 인자의 하나로 사료된다.

• Clinics in Shoulder and Elbow
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• 제10권2호
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• pp.167-174
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• 2007

목적: 석회화 건염에 대하여 보존적 치료 및 관절경을 이용한 수술적 치료 후 석회질 소실정도와 임상경과를 비교 관찰하였다. 대상 및 방법: 2002년 1월부터 2005년 4월까지 석회화 건염으로 진단받은 126예 중 6개월 이상 추시관찰이 가능하였던 주사치료 64예 및 수술 치료 12예를 대상으로 하여 석회질의 소실정도와 임상증상의 호전을 비교 관찰하였다. 126예의 평균연령은 53세, 여성이 77%였으며, 극상 건에 침범한 경우가 84%였다. 결과: 주사 치료의 경우 77%(49/64)에서 증상의 호전을 볼 수 있었다. 방사선적으로 석회질의 완전소실을 볼 수 있었던 경우는 36%(23/64)였고 불완전 소실은 17%(11/64)였으며, 석회질 크기에 변화가 없었던 경우가 47%(30/64)였다. 관절경적 치료를 시행한 석회질은 83%(10/12)에서 평균 3.9개월에 완전 소실되었다. 결론: 용해기의 급성통증은 스테로이드주사로 증상의 호전을 볼 수 있었다. 형성기의 석회화건염에 대한 관절경하 수술적 치료 시 완전제거를 시행할 필요는 없으나, 완전한 증상완화를 위해서는 석회침착물의 완전 소실을 확인하는 것이 중요한 것으로 생각되었다.

• Clinics in Shoulder and Elbow
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• 제19권4호
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• pp.190-191
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• 2016

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2008년도 제16차 학술대회
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• pp.163-163
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• 2008

Calcific tendinitis is a common condition with characteristic clinical and radiological findings. Although we do not know which condition initiated the pathologic cascade, we present a rare case of calcific tendinitis of the long head of the biceps brachii at its origin, associated with a SLAP lesion. The calcium deposit was removed and the SLAP lesion was repaired with a suture anchor arthroscopically.