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Prospective randomized surgical treatments for calcifying tendinopathy
Frank Rubenthaler1, Jörn Ludwig, Matthias Wiese
1Orthopädische Universitätsklinik der Ruhr-Universität Bochum am St. Josef Hospital Bochum, Bochum, Germany. frank.rubenthaler@ruhr-uni-bochum.de
Clinical Orthopaedics and Related Research
|May 29, 2003
Summary
Both endoscopic and open surgery effectively treat chronic calcifying tendinopathy of the shoulder, showing similar clinical outcomes and recovery times. Neither surgical approach resulted in postoperative complications.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Regenerative Medicine
Background:
- Chronic calcifying tendinopathy of the shoulder is a debilitating condition.
- Surgical interventions aim to relieve pain and restore function.
Purpose of the Study:
- To prospectively evaluate and compare clinical and sonographic outcomes of endoscopic versus open decompression for chronic calcifying tendinopathy of the shoulder.
Main Methods:
- Prospective randomized study comparing endoscopic (n=19) and open (n=19) decompression.
- Clinical assessments using Patte and Constant and Murley scores at followup (average 15.7-17.1 months).
- Ultrasonographic investigations and assessment of return to work were also performed.
Main Results:
- Both groups showed excellent clinical outcomes with high Patte and Constant and Murley scores (average 84.5 and 96.6, respectively).
- No significant differences in clinical scores or incapacity to work were observed between endoscopic and open decompression.
- No postoperative complications such as nerve injuries or infections were reported in either group.
Conclusions:
- Endoscopic and open decompression are equally effective surgical treatments for chronic calcifying tendinopathy of the shoulder.
- Both methods yield comparable good clinical results and recovery profiles.
- The choice between endoscopic and open surgery may depend on surgeon preference and patient factors.