Calcific Tendonitis Treatment | Arthroscopic Rotator Cuff Repair | Shoulder Surgeon скачать в хорошем качестве

Calcific Tendonitis Treatment | Arthroscopic Rotator Cuff Repair | Shoulder Surgeon

http://drmillett.com/ In this video, shoulder surgeon Peter Millett, MD demonstrates arthroscopic rotator cuff repair. Calcific tendonitis is defined as calcification and tendon degeneration at or near the rotator cuff insertion. The prevalence of calcific tendonitis is 3-8% and 40-50% of patients are symptomatic. Calcific tendonitis has been associated with subacromial impingement. The underlying etiology is unknown, the pathophysiology is thought to occur in 3 phases. 1. Formative phase - patients are generally asymptomatic. 2. Resting phase 3. Resorptive phase - patients become symptomatic The clinical presentation of calcific tendonitis is often variable. Greater than 50% of patients are asymptomatic. If symptomatic, patients often complain of pain similar to impingement syndrome. Acute episodes may one of the most painful of all shoulder conditions. The diagnosis of calcific tendonitis is generally made by radiographs. Radiographs typically show calcific deposits proximal to the greater tuberosity. An MRI is ofter helpful to help further determine the diagnosis. Symptoms can include severe disabling pain the interferes with daily activities that las for over six months in duration. Non-operative treatment options include anti-inflammatory medication, physical therapy and steroid injections. Only 10% of patients require surgery. In this first case, Dr. Millett performs a rotator cuff repair to extract the calcification deposits. It is important to remove all calcium deposits within the tendon and subacromial space as these can be very irritating and can cause inflammation if left behind. Following the incision, the surgeon must decide how to repair the remaining rotator cuff. In most cases, the calcific deposits only occupy a small portion of the rotator cuff and simple debridement is adequate. In this case, the calcific tendontitis has left a full thickness rotator cuff tear requiring rotator cuff repair surgery. Post-operatively the patient demonstrated excellent results. In Dr. Millett's clinical practice, he had 16 patients with symptomatic calcific tendonitis refractory to non-operative treatment and the minimum follow-up was 2 years. All patient outcomes reported at 10 out of 10 satisfaction post-operatively. http://drmillett.com/