PMID- 36061068
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220907
IS  - 2296-875X (Print)
IS  - 2296-875X (Electronic)
IS  - 2296-875X (Linking)
VI  - 9
DP  - 2022
TI  - Combined arthroscopic rotator cuff repair leads to better clinical outcomes than 
      isolated removal of calcific deposits for shoulder calcific tendinitis: A 2- to 
      5-year follow-up study.
PG  - 912779
LID - 10.3389/fsurg.2022.912779 [doi]
LID - 912779
AB  - PURPOSE: The optimal treatment procedure for shoulder calcific tendinitis (CT) 
      remains controversial. This study aimed to assess the efficacy of arthroscopic 
      treatment for CT, and to compare the clinical outcomes following combined rotator 
      cuff repair and isolated removal of calcific deposits. METHODS: This 
      retrospective cohort study included 46 patients (47 shoulders) with confirmed 
      shoulder CT, and the diameter of the calcific deposit was over 1 cm. All patients 
      suffered from CT for a mean period of 17.82 months and had a poor response to 
      conservative treatment. With 12 males and 34 females included, the mean age was 
      53.94 years. After failed conservative treatment, 23 shoulders underwent combined 
      rotator cuff repair (repair group), and 24 shoulders underwent isolated removal 
      of calcific deposits (debridement group). The clinical outcomes were evaluated at 
      baseline, 3, 6, and 12 months after the surgery and annually thereafter. The 
      efficacy measures included the visual analog scale (VAS) pain score, American 
      Shoulder and Elbow Surgeons (ASES) score, University of California at Los Angeles 
      (UCLA) score and radiographic outcomes. RESULTS: Remarkable improvement in 
      clinical outcomes at the final follow-up (2- to 5-year) compared with those at 
      baseline were observed (p < 0.0001 for all outcomes). Compared with isolated 
      removal of calcific deposits, combined rotator cuff repair led to worse 
      postoperative 3- and 6-month VAS (p = 0.004 and p = 0.026, respectively), and 
      3-month ASES scores (p = 0.012). However, better VAS (p = 0.035 and p = 0.007, 
      respectively) and ASES (p = 0.034 and p = 0.020, respectively) scores at 24-month 
      and final follow-up were found in the repair group. All these differences reached 
      the minimal clinical important difference (MCID). MRI scans at the final 
      follow-up showed significantly better outcomes in patients with rotator cuff 
      repair (p = 0.021). CONCLUSIONS: Arthroscopic removal of calcific deposits is 
      safe and effective for treating CT. Compared with isolated debridement, combined 
      rotator cuff repair led to worse short-term (<12 months) but better medium- 
      (12-48 months) to long-term (>/=48 months) improvements in pain, function and 
      integrity of tendons.
CI  - (c) 2022 Pang, Li, Li, Cao, Li, Zhu and Tang.
FAU - Pang, Long
AU  - Pang L
AD  - Department of Orthopedics, Orthopedic Research Institute, West China Hospital, 
      Sichuan University, Chengdu, China.
FAU - Li, Tao
AU  - Li T
AD  - Department of Orthopedics, Orthopedic Research Institute, West China Hospital, 
      Sichuan University, Chengdu, China.
FAU - Li, Yinghao
AU  - Li Y
AD  - Department of Orthopedics, Orthopedic Research Institute, West China Hospital, 
      Sichuan University, Chengdu, China.
AD  - West China Medical School, Sichuan University, Chengdu, China.
FAU - Cao, Yuanyinuo
AU  - Cao Y
AD  - West China Medical School, Sichuan University, Chengdu, China.
FAU - Li, Jian
AU  - Li J
AD  - Department of Orthopedics, Orthopedic Research Institute, West China Hospital, 
      Sichuan University, Chengdu, China.
FAU - Zhu, Jing
AU  - Zhu J
AD  - Department of Respiratory and Critical Care Medicine, West China Hospital, 
      Sichuan University, Chengdu, China.
FAU - Tang, Xin
AU  - Tang X
AD  - Department of Orthopedics, Orthopedic Research Institute, West China Hospital, 
      Sichuan University, Chengdu, China.
LA  - eng
PT  - Journal Article
DEP - 20220817
PL  - Switzerland
TA  - Front Surg
JT  - Frontiers in surgery
JID - 101645127
PMC - PMC9428341
OTO - NOTNLM
OT  - arthroscopic
OT  - calcific tendinitis
OT  - debridement
OT  - rotator cuff repair
OT  - shoulder
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2022/09/06 06:00
MHDA- 2022/09/06 06:01
PMCR- 2022/08/17
CRDT- 2022/09/05 04:02
PHST- 2022/04/04 00:00 [received]
PHST- 2022/08/04 00:00 [accepted]
PHST- 2022/09/05 04:02 [entrez]
PHST- 2022/09/06 06:00 [pubmed]
PHST- 2022/09/06 06:01 [medline]
PHST- 2022/08/17 00:00 [pmc-release]
AID - 10.3389/fsurg.2022.912779 [doi]
PST - epublish
SO  - Front Surg. 2022 Aug 17;9:912779. doi: 10.3389/fsurg.2022.912779. eCollection 
      2022.