Artikel
Intra-operative ultrasound facilitates significantly the localisation of the lime deposit during arthroscopic treatment of calcifying tendinits: a prospective randomized study
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Veröffentlicht: | 21. Oktober 2010 |
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Gliederung
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Objective: Calcifying tendinitis is a benign common condition causing impaired shoulder function and pain with unknown duration. Conservative treatment is recommended as first line therapy. In therapy refractory cases arthroscopic lime deposit curettage is recommended. The localisation of the deposit itself can be very demanding. At first, this study evaluates if intra-operative ultrasound facilitates the search for the lime deposit and reduces operation times. Secondly, the clinical and radiological outcome is analyzed.
Methods: 20 Patients with verified calcifying tendinitis were randomized into two groups. Both groups were operated in a standard procedure. In group I the lime deposit was localized conventionally. In group II, the deposit was localized by intra-operative ultrasound investigation. The number of needle punctures in the rotator cuff, operation time, clinical and radiological findings were noted.
Results and conclusions: In group II, the number of needle punctures and the time to find the lime deposit was significantly lower then in group I. Clinical and radiological outcome was comparable in both groups.
Intra-operative ultrasound reduces significantly the time to find the deposit and the soft tissue trauma due to less needle punctures. We highly recommend its use in order to avoid ionizing radiation of fluoroscopes.