Arthroscopic Removal of Rotator Cuff Calcifications: Operative Technique.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 30233931.
- Also identified by DOI 10.2106/JBJS.ST.16.00028 and PMC identifier 6132612.
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Abstract
In this article, we present our operative technique for the removal of rotator cuff calcifications. Perform the shoulder arthroscopy with the patient in the beach-chair position with a shoulder positioner. Perform an arthroscopic inspection of the glenohumeral joint to exclude concomitant lesions. Ensure that subacromial placement of the arthroscope and identification of the subacromial landmarks are correct as they are necessary for localization of the rotator cuff calcification. With a spinal needle, localize and needle the rotator cuff calcification. In our series, all patients undergoing arthroscopic calcification removal exhibited significant improvement in the Constant score (p = 0.003), Quick DASH (an abbreviated version of the Disabilities of the Arm, Shoulder and Hand [DASH] questionnaire) (p < 0.001), and Simple Shoulder Test (p < 0.001) at 1 year after the operation<sup>8</sup>.
Anatomy
- shoulder