关节镜下治疗巨大罕见型冈上肌钙化型肌腱炎一例
刘晨1
袁凌伟1
吴锦秋1
唐兆鹏1
马涛1
韩宪富1
刘学睿1
杨国清1
何海溶1
孙茹2
1.730050 兰州,甘肃省中医院运动医学科2.730050 兰州,甘肃省中医院针灸二科
摘要：Calcific tendinitis is one of the common causes of shoulder pain,typically involving the rotator cuff,particularly the supraspinatus tendon.Most cases present with small calcific deposits(in the resorptive phase)and can be managed conservatively with nonsteroidal anti-inflammatory drugs,physical therapy,or ultrasound-guided needle lavage.However,giant calcific deposits(diameter>3 cm)are rare and often refractory to conservative treatment,usually requiring surgical intervention.This article reports the diagnosis and treatment of a case of giant calcific tendinitis and discusses the technical considerations and clinical outcomes of arthroscopic surgery.The patient was a 60-year-old woman presenting with"right shoulder pain and limited mobility for 5 years,aggravated in the past week."Previous symptomatic treatments,including topical analgesics and oral painkillers(specific names and dosages unknown),provided no significant relief.Physical examination revealed markedly restricted internal rotation and positive Neer and Hawkins signs.Imaging studies showed a high-density calcific deposit(approximately 3 cm in diameter)along the supraspinatus tendon on X-ray,with significant perilesional edema and subacromial impingement on MRI.Given the large lesion size and prolonged symptoms,arthroscopic calcific deposit removal was performed.Using a standard posterior portal,toothpaste-like calcific material was visualized and completely debrided,followed by subacromial decompression to address impingement and tendon repair.Postoperatively,the patient experienced significant pain relief,and follow-up MRI at 5 weeks showed no recurrence.This case suggests that for rare,giant calcific tendinitis unresponsive to conservative treatment,arthroscopic surgery(with its magnified visualization)allows precise lesion removal while minimizing tissue damage and addressing concurrent impingement.Its advantages,including minimal invasiveness,direct visualization,and rapid recovery,make it the preferred treatment for such complex cases.
关键词：钙质沉着症回旋套关节镜
分类号：R687.4(骨科学（运动系疾病、矫形外科学）)
论文发表日期：2025-11-19
在线出版日期：2025-11-13（本平台首次上网日期，不代表文献的发表时间）
页数：5( 1023-1027 )
英文信息