Influence of deposit stage and failed ESWT on the surgical results of arthroscopic treatment of calcifying tendonitis of the shoulder

The purpose of the present study is the evaluation of a possible influence of the preoperative deposit stage, the postoperative deposit elimination and failed preoperative extracorporeal shockwave therapy on the surgical outcome of arthroscopic treatment of tendinosis calcarea. From 1997 to 2004, 65...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2008-05, Vol.16 (5), p.516-521
Main Authors: Lorbach, O., Kusma, M., Pape, D., Kohn, D., Dienst, M.
Format: Article
Language:English
Subjects:
Adult
Aged
Arthroscopy
Calcinosis - classification
Calcinosis - diagnostic imaging
Calcinosis - physiopathology
Calcinosis - surgery
Clinical outcomes
Female
Humans
Lithotripsy
Male
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Pain Measurement
Patient Satisfaction
Preoperative Care
Radiography
Rotator cuff
Shoulder
Shoulder Joint - diagnostic imaging
Shoulder Joint - physiopathology
Shoulder Joint - surgery
Surgery
Tendinitis
Tendinopathy - physiopathology
Tendinopathy - surgery
Treatment Failure
Ultrasonic Therapy - adverse effects
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Summary:The purpose of the present study is the evaluation of a possible influence of the preoperative deposit stage, the postoperative deposit elimination and failed preoperative extracorporeal shockwave therapy on the surgical outcome of arthroscopic treatment of tendinosis calcarea. From 1997 to 2004, 65 patients underwent arthroscopic resection of calcific deposits of the shoulder after failed conservative treatment. Patients with rotator cuff tears, major cartilage damage, or previous surgery were excluded. Out of 50 patients 45 (17 men, 28 women) that could be contacted with a mean age of 49 ± 8 years could be followed-up with a mean of 36 months (14–89) after surgery. A total of 24 patients (53.3%) underwent preoperative extracorporeal shock-wave therapy (ESWT). For the clinical evaluation the Constant and Murley Score, the Simple Shoulder Test, the Western Ontario Rotator Cuff Index (WORC) and visual analog scales for pain, function and satisfaction were used. For the radiological evaluation, the classifications according to Gaertner and Bosworth were used. Statistical analysis was done with the Wilcoxon test, the Mann–Whitney test and ANOVA. The Constant and Murley Score improved significantly from preoperative 63.5 ± 11.4 to postoperative 93.9 ± 9.9 points ( P  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-008-0507-0