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Arthroscopic Removal of Rotator Cuff Calcifications: Operative Technique
Filip Verhaegen1, Philippe Debeer1
1Department of Development and Regeneration, Division of Orthopaedics, University Hospitals Leuven, Pellenberg, Belgium.
Introduction:
In this article, we present our operative technique for the removal of rotator cuff calcifications.
Step 1 Setup And Patient Positioning:
Perform the shoulder arthroscopy with the patient in the beach-chair position with a shoulder positioner.
Step 2 Glenohumeral Inspection:
Perform an arthroscopic inspection of the glenohumeral joint to exclude concomitant lesions.
Step 3 Subacromial Inspection And Identification Of Subacromial Landmarks:
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.
Step 4 Identification And Removal Of Rotator Cuff Calcification:
With a spinal needle, localize and needle the rotator cuff calcification.
Results:
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 operation8.
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