肩袖钙化性肌腱病的治疗方案。

IF 1.8 Q2 ORTHOPEDICS
SICOT-J Pub Date : 2025-01-01 Epub Date: 2025-02-20 DOI:10.1051/sicotj/2025003
Daniel Moya, Mustafa Rashid, Sergio Rowinski, Saad Al-Qahtani, Pedro Bernáldez Domínguez, Diego Gómez, Ignacio Dallo
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引用次数: 0

摘要

在治疗肩袖钙化的过程中,有许多变量影响决策过程。沉积的阶段、预后因素、以前失败的治疗、疼痛程度和功能残疾都必须考虑在内。自发消退的趋势是一个重要的原因,总是用尽保守治疗,作为非侵入性选择的第一线治疗。聚焦冲击波疗法的出现为非侵入性治疗肩袖钙化提供了有力的工具。在meta分析和系统评价的支持下,高能聚焦冲击波被高度推荐用于治疗肩袖钙化。如果非侵入性技术失败,则有可能转向微创手术,如超声引导的穿刺。最后,经典的侵入性技术也是常见的适应症,包括开放手术和关节镜检查。由于每种治疗方法都有其优点和缺点,最可取的策略是在不忽视疾病的临床阶段和每个患者的一般情况下,从侵入性最小的治疗方法发展到侵入性最大的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Therapeutic options in rotator cuff calcific tendinopathy.

There are many variables that influence the decision-making process in the treatment of rotator cuff calcifications. The stage of the deposit, prognostic factors, previous failed treatments, pain level, and functional disability must all be considered. The tendency for spontaneous resolution is an important reason to always exhaust conservative treatment, being non-invasive options the first line of treatment. The emergence of focused shock wave therapy offered a powerful tool for the non-invasive management of rotator cuff calcifications. High-energy focused shock waves have a high degree of recommendation for the treatment of rotator cuff calcifications, supported by meta-analyses and systematic reviews. If non-invasive techniques fail, there is the possibility of moving to a minimally invasive procedure such as ultrasound-guided barbotage. Finally, classic invasive techniques are also a frequent indication, including open surgery and arthroscopy. As each treatment has advantages and disadvantages, the most advisable strategy is to progress from the least invasive therapeutic methods to the most invasive ones without losing sight of the clinical stage of the disease and the general context of each patient.

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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
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