肩部鈣化性肌腱炎 - tma.org.tw

1 X 80% ICD-9 calcifying tendinitis B o s w o r t h1 6 0 1 6 2 . 7 % 3 4 -4 5 % We l f i n g2 9 2 5 6 . 8 % r o t a t o r c u ff s u p r a s p i n a t u s 6 0 - 9 0 % 3 greater tuberosity 2 critical zone 4 1 1 6 2 3 4 Uthoff 5 1 2 3 macrophage 2 impingement syndrome refer pain deltoid X 1 a n t e r o p o s t e r i o r view lateral view 2013 57 3 20 u l t r a s o u n d 5 D o p p l e r m a g n e t i c r e s o n a n c e imaging n o n

2 S t e r o i d a n t i inflammatory drug 8 0 % Yo k o y a m a6 c i m e t i d i n e 2 0 0 m g 2 5 6 % L e d u c7 acetic acid inotophoresis c o r t i c o s t e r o i d therapeutic ultrasound short wave m i c r o w a v e 8 p u l s e u l t r a s o u n d ( 2 . 0 W/ c m 2 , 1MH z , puls e ra tio 1:4) extracorporeal shock wave therapy, ESWT bone edema ESWT ESWT 9,10 ultrasound guide needle lavage 11 normalsaline 12 ethylenediaminetetraacetic acid, EDTA conventional open surgery p r o c e d u r e a r t h r o s c o p i c procedure 10% 6 adhesive capsulitis diathermy 90% ESWT 10% 1.

3 B o s w o r t h B M : C a l c i u m d e p o s i t s i n t h e shoulder and subacromial bursitis: a survey of 12, 122 shoulders. J Am Med Assoc 1941; 116: 2477 82. 2013 57 3 212. Welfling J, Kahn MF, Desroy M, et al: Les calcifications de l La maladie des calcifications tendineuses multiples. Rev Rheum 1965; 32: Uhthoff HK, Loehr JW: Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management. J Am Acad Orthop Surg 1997; 5: 183 Faure G, Daculis G: Calcified tendonitis: a review. Ann Rheum Dis 1983; 42: 49 Chiou HJ, Chou YH, Wu JJ, et al: Evaluation o f c a l c i f i c t e n d o n i t i s o f t h e r o t a t o r c u ff : r o l e o f c o l o r D o p p l e r u l t r a s o n o g r a p h y. J Ultrasound Med 2002; 21: 289 Yo k o y a m a M , A o n o H , Ta k e d a A , e t a l : Cimetidine for chronic calcifying tendinitis of the shoulder.

4 Reg Anesth Pain Med 2003; 28: L e d u c B E , C a y a J , T r e m b l a y S , e t a l : Tr e a t m e n t o f c a l c i f y i n g t e n d i n i t i s o f t h e s h o u l d e r b y a c e t i c a c i d i o nt o p h o r e s i s : a double-blind randomized controlled trial. Arch Phys Med Rehabil 2003; 84: Di Cesare , Giombini A, Dragoni S, et al: Calcific tendinopathy of the rotator cuff. C o n s e r v a t i v e m a n a g e m e n t w i t h 4 3 4 M h z local microwave diathermy (hyperthermia): a case study. Disabil Rehabil 2008; 30: F a r r S , S e v e l d a F , Ma d e r P, e t a l : E x t r a c o r p o r e a l s h o c k w a v e t h e r a p y i n calcifying tendinitis of the shoulder. Knee Surg Sports Traumatol Arthrosc 2011; 19: 2085-910. Albert JD, Meadeb J, Guggenbuhl P, et al: H i g h - e n e rg y e x t r a c o r p o r e a l s h o c k - w a v e t h e r a p y f o r c a l c i f y i n g t e n d i n i t i s o f t h e rotator cuff: a randomised trial.

5 J Bone Joint Surg Br 2007; 89: F a r i n P U , R a s a n e n H , J a r o m a H , e t a l : Rotator cuff calcifications: treatment with u l t r a s o u n d - g u i d e d p e r c u t a n e o u s n e e d l e aspiration and lavage. Skeletal Radiol 1996; 25: 551 Cacchio A, De Blasis E, Desiati P, et al: E f f e c t i v e n e s s o f t r e a t m e n t o f c a l c i f i c t e n d i n i t i s o f t h e s h o u l d e r b y d i s o d i u m EDTA. Arthritis Rheum 2009; 61: 84 91. 2013 57 3 22