Surgical or conservative treatment for chronic rotator cuff calcifying tendinitis : a matched-pair analysis of 100 patients
Conservative or operative treatment for rotator cuff calcifying tendinitis was investigated in 100 patients in a matched-pair analysis. They were examined clinically and ultrasonographically 35-60 months after the initial visit. The mean Patte score was 91.8 for the patients who underwent surgical t...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2001, Vol.121 (1-2), p.56-59 |
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| container_title | Archives of orthopaedic and trauma surgery |
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| creator | WITTENBERG, R. H RUBENTHALER, F WÖLK, T LUDWIG, J WILLBURGER, R. E STEFFEN, R |
| description | Conservative or operative treatment for rotator cuff calcifying tendinitis was investigated in 100 patients in a matched-pair analysis. They were examined clinically and ultrasonographically 35-60 months after the initial visit. The mean Patte score was 91.8 for the patients who underwent surgical treatment and 81 for the ones who received conservative therapy (p < 0.004), while the age-related Constant-score was 103.4 and 95, respectively. Ultrasonography showed 28% calcifications in the surgical group, 18% newly formed and 10% that did not resolve after surgery. In the conservatively treated group, 33% calcifications were seen, of which 67% resolved. The number of rotator cuff ruptures was significantly higher in the conservative group. In the surgical group, 2% of partial tears and in the conservative group 5% of partial and 4% of complete cuff ruptures were found. Conservative treatment for calcifying tendinitis leads to less favourable pain results in the long term than surgical treatment. Surgery shortens the painful period and may reduce the number of future rotator cuff ruptures. Finally, the subjective functional outcome is significantly better after surgery. |
| doi_str_mv | 10.1007/s004020000195 |
| format | Article |
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H ; RUBENTHALER, F ; WÖLK, T ; LUDWIG, J ; WILLBURGER, R. E ; STEFFEN, R</creator><creatorcontrib>WITTENBERG, R. H ; RUBENTHALER, F ; WÖLK, T ; LUDWIG, J ; WILLBURGER, R. E ; STEFFEN, R</creatorcontrib><description>Conservative or operative treatment for rotator cuff calcifying tendinitis was investigated in 100 patients in a matched-pair analysis. They were examined clinically and ultrasonographically 35-60 months after the initial visit. The mean Patte score was 91.8 for the patients who underwent surgical treatment and 81 for the ones who received conservative therapy (p < 0.004), while the age-related Constant-score was 103.4 and 95, respectively. Ultrasonography showed 28% calcifications in the surgical group, 18% newly formed and 10% that did not resolve after surgery. In the conservatively treated group, 33% calcifications were seen, of which 67% resolved. The number of rotator cuff ruptures was significantly higher in the conservative group. In the surgical group, 2% of partial tears and in the conservative group 5% of partial and 4% of complete cuff ruptures were found. Conservative treatment for calcifying tendinitis leads to less favourable pain results in the long term than surgical treatment. Surgery shortens the painful period and may reduce the number of future rotator cuff ruptures. Finally, the subjective functional outcome is significantly better after surgery.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s004020000195</identifier><identifier>PMID: 11195119</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Activities of Daily Living ; Biological and medical sciences ; Calcinosis - classification ; Calcinosis - diagnostic imaging ; Calcinosis - physiopathology ; Calcinosis - rehabilitation ; Calcinosis - surgery ; Chronic Disease ; Decompression, Surgical - methods ; Diseases of the osteoarticular system ; Drainage ; Female ; Follow-Up Studies ; Functional Laterality ; Humans ; Juxtaarticular diseases. Extraarticular rhumatism ; Male ; Matched-Pair Analysis ; Medical sciences ; Middle Aged ; Physical Therapy Modalities - methods ; Punctures ; Range of Motion, Articular ; Rotator cuff ; Rotator Cuff Injuries ; Rupture, Spontaneous ; Severity of Illness Index ; Surgery ; Surveys and Questionnaires ; Tendinitis ; Tendinopathy - classification ; Tendinopathy - diagnostic imaging ; Tendinopathy - physiopathology ; Tendinopathy - rehabilitation ; Tendinopathy - surgery ; Time Factors ; Treatment Outcome ; Ultrasonography</subject><ispartof>Archives of orthopaedic and trauma surgery, 2001, Vol.121 (1-2), p.56-59</ispartof><rights>2001 INIST-CNRS</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2001). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-6b0caae720b6769c64339a95d7e84ebacbdfc27141d29fddb1d85c4a7c4eaeca3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=888068$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11195119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WITTENBERG, R. H</creatorcontrib><creatorcontrib>RUBENTHALER, F</creatorcontrib><creatorcontrib>WÖLK, T</creatorcontrib><creatorcontrib>LUDWIG, J</creatorcontrib><creatorcontrib>WILLBURGER, R. E</creatorcontrib><creatorcontrib>STEFFEN, R</creatorcontrib><title>Surgical or conservative treatment for chronic rotator cuff calcifying tendinitis : a matched-pair analysis of 100 patients</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><description>Conservative or operative treatment for rotator cuff calcifying tendinitis was investigated in 100 patients in a matched-pair analysis. They were examined clinically and ultrasonographically 35-60 months after the initial visit. The mean Patte score was 91.8 for the patients who underwent surgical treatment and 81 for the ones who received conservative therapy (p < 0.004), while the age-related Constant-score was 103.4 and 95, respectively. Ultrasonography showed 28% calcifications in the surgical group, 18% newly formed and 10% that did not resolve after surgery. In the conservatively treated group, 33% calcifications were seen, of which 67% resolved. The number of rotator cuff ruptures was significantly higher in the conservative group. In the surgical group, 2% of partial tears and in the conservative group 5% of partial and 4% of complete cuff ruptures were found. Conservative treatment for calcifying tendinitis leads to less favourable pain results in the long term than surgical treatment. Surgery shortens the painful period and may reduce the number of future rotator cuff ruptures. Finally, the subjective functional outcome is significantly better after surgery.</description><subject>Activities of Daily Living</subject><subject>Biological and medical sciences</subject><subject>Calcinosis - classification</subject><subject>Calcinosis - diagnostic imaging</subject><subject>Calcinosis - physiopathology</subject><subject>Calcinosis - rehabilitation</subject><subject>Calcinosis - surgery</subject><subject>Chronic Disease</subject><subject>Decompression, Surgical - methods</subject><subject>Diseases of the osteoarticular system</subject><subject>Drainage</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Functional Laterality</subject><subject>Humans</subject><subject>Juxtaarticular diseases. Extraarticular rhumatism</subject><subject>Male</subject><subject>Matched-Pair Analysis</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Physical Therapy Modalities - methods</subject><subject>Punctures</subject><subject>Range of Motion, Articular</subject><subject>Rotator cuff</subject><subject>Rotator Cuff Injuries</subject><subject>Rupture, Spontaneous</subject><subject>Severity of Illness Index</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Tendinitis</subject><subject>Tendinopathy - classification</subject><subject>Tendinopathy - diagnostic imaging</subject><subject>Tendinopathy - physiopathology</subject><subject>Tendinopathy - rehabilitation</subject><subject>Tendinopathy - surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkc2LFDEQxYMo7uzq0asEBG-t-eruxJss6goLHtRzU51UdrN0J2OSXhj8582wg18FoQj1y3tFHiEvOHvDGRvfFsYUE6wVN_0jsuNKqk4aPjwmO2bk0GnW8zNyXspdQ4Q27Ck547zB7ezIz69bvgkWFpoytSkWzPdQwz3SmhHqirFSfxzd5hSDpTlVqMf75j1tz2zwhxBvaMXoQgw1FPqOAl2h2lt03R5CphBhOZQ2SZ62nem-GTTd8ow88bAUfH7qF-T7xw_fLq-66y-fPl--v-6sVH3thplZABwFm4dxMHZQUhowvRtRK5zBzs5bMXLFnTDeuZk73VsFo1UIaEFekNcPuvucfmxY6rSGYnFZIGLayjSyXgutdANf_QfepS237cskxMCNUUIeqe6BsjmVktFP-xxWyIeJs-mYyfRPJo1_eVLd5hXdH_oUwl-2UNqX-gzRhvKb01qzQctf5OCU-Q</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>WITTENBERG, R. 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Extraarticular rhumatism</topic><topic>Male</topic><topic>Matched-Pair Analysis</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Physical Therapy Modalities - methods</topic><topic>Punctures</topic><topic>Range of Motion, Articular</topic><topic>Rotator cuff</topic><topic>Rotator Cuff Injuries</topic><topic>Rupture, Spontaneous</topic><topic>Severity of Illness Index</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Tendinitis</topic><topic>Tendinopathy - classification</topic><topic>Tendinopathy - diagnostic imaging</topic><topic>Tendinopathy - physiopathology</topic><topic>Tendinopathy - rehabilitation</topic><topic>Tendinopathy - surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>WITTENBERG, R. 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H</au><au>RUBENTHALER, F</au><au>WÖLK, T</au><au>LUDWIG, J</au><au>WILLBURGER, R. E</au><au>STEFFEN, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical or conservative treatment for chronic rotator cuff calcifying tendinitis : a matched-pair analysis of 100 patients</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2001</date><risdate>2001</risdate><volume>121</volume><issue>1-2</issue><spage>56</spage><epage>59</epage><pages>56-59</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Conservative or operative treatment for rotator cuff calcifying tendinitis was investigated in 100 patients in a matched-pair analysis. They were examined clinically and ultrasonographically 35-60 months after the initial visit. The mean Patte score was 91.8 for the patients who underwent surgical treatment and 81 for the ones who received conservative therapy (p < 0.004), while the age-related Constant-score was 103.4 and 95, respectively. Ultrasonography showed 28% calcifications in the surgical group, 18% newly formed and 10% that did not resolve after surgery. In the conservatively treated group, 33% calcifications were seen, of which 67% resolved. The number of rotator cuff ruptures was significantly higher in the conservative group. In the surgical group, 2% of partial tears and in the conservative group 5% of partial and 4% of complete cuff ruptures were found. Conservative treatment for calcifying tendinitis leads to less favourable pain results in the long term than surgical treatment. Surgery shortens the painful period and may reduce the number of future rotator cuff ruptures. 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| subjects | Activities of Daily Living Biological and medical sciences Calcinosis - classification Calcinosis - diagnostic imaging Calcinosis - physiopathology Calcinosis - rehabilitation Calcinosis - surgery Chronic Disease Decompression, Surgical - methods Diseases of the osteoarticular system Drainage Female Follow-Up Studies Functional Laterality Humans Juxtaarticular diseases. Extraarticular rhumatism Male Matched-Pair Analysis Medical sciences Middle Aged Physical Therapy Modalities - methods Punctures Range of Motion, Articular Rotator cuff Rotator Cuff Injuries Rupture, Spontaneous Severity of Illness Index Surgery Surveys and Questionnaires Tendinitis Tendinopathy - classification Tendinopathy - diagnostic imaging Tendinopathy - physiopathology Tendinopathy - rehabilitation Tendinopathy - surgery Time Factors Treatment Outcome Ultrasonography |
| title | Surgical or conservative treatment for chronic rotator cuff calcifying tendinitis : a matched-pair analysis of 100 patients |
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