Intraarticular lesions in calcifying tendinitis: incidence and association with the acromion index.
Summary of "Intraarticular lesions in calcifying tendinitis: incidence and association with the acromion index."
Intraarticular pathologies are a common finding during arthroscopy for rotator cuff lesions. Both rotator cuff tears as well as cartilage lesions have been described as correlating with the acromion index.
In the current study, we aimed to determine the incidence of intraarticular lesions in calcifying tendinitis, to compare the incidence in patients with partial- and full-thickness tears of the rotator cuff, and to determine the acromion index in these groups. The incidence and type of accompanying intraarticular lesions were compared between three consecutive, age-matched groups of 64 patients each: those with calcifying tendinitis (group A), and those with partial- (group B) and full-thickness rotator cuff tears (group C). Also, the acromion index was measured from plain radiographs and compared between the groups.
The incidence of intraarticular pathology was 43% in group A, 41% in group B and 84% in group C. The differences between groups A and C as well as B and C were significant (p < 0.0001), but not between groups A and B (p = 0.858). Even though the acromion index was larger in group C than in the other two groups, the difference was not significant (A vs. B, p = 0.505; A vs. C, p = 0.180; and B vs. C p = 0.446). The incidence and type of intraarticular lesions in calcifying tendinitis are comparable to age-matched shoulders with partial- rather than full-thickness rotator cuff tears.
The acromion index is not different between shoulders with calcifying tendinitis, and partial- or full-thickness rotator cuff tears.
Department of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany, Thkappe@gmx.de.
This article was published in the following journal.
Name: Archives of orthopaedic and trauma surgery
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21249374
- DOI: http://dx.doi.org/10.1007/s00402-011-1263-z
Medical and Biotech [MESH] Definitions
The lateral extension of the spine of the SCAPULA and the highest point of the SHOULDER.
Clinical syndrome describing overuse tendon injuries characterized by a combination of PAIN, diffuse or localized swelling, and impaired performance. Distinguishing tendinosis from tendinitis is clinically difficult and can be made only after histopathological examination.
The gliding joint formed by the outer extremity of the CLAVICLE and the inner margin of the acromion process of the SCAPULA.
Odontogenic Cyst, Calcifying
A mixed radiolucent-radiopaque lesion of the jaws with features of both a cyst and a solid neoplasm. It is characterized microscopically by an epithelial lining showing a palisaded layer of columnar basal cells, presence of ghost cell keratinization, dentinoid, and calcification. (Stedman, 25th ed)
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
PURPOSE: To evaluate the relationship of a large acromion index and calcifying tendinitis of the supraspinatus tendon at the shoulder. MATERIALS AND METHODS: Between 2002 and 2008, 109 consecutive pat...
Calcifying tumor of the pleura is a rare benign tumor, similar to the calcifying fibrous pseudotumor originally described in the subcutaneous and deep soft tissues of the extremities, trunk, and neck....
The present study investigated the effects of low-level light-emitting diode (LED) therapy (880 ± 10 nm) on interleukin (IL)-10 and type I and III collagen in an experimental model of Achilles t...
The authors describe a 6 year old girl who initially presented with limping due to intraarticular ossification of left knee joint but later developed carpopedal spasms. She had Albright's hereditary...
Background: Calcific tendinitis of the rotator cuff may cause chronic pain at the shoulder. Sometimes the pain can lead to a serious impairment in the daily life. One of the most efficie...
Intraarticular application of opioids versus glucocorticosteroids versus placebo in knee arthritis study goals: assessment of effectiveness and tolerability of locally applied morphine,...
The primary purposes of this study are the following: 1. To evaluate whether the presence of inflammatory knee osteoarthritis as determined by ultrasonography can be used as a clin...
The aim of this study is to determine whether the continuous intraarticular infusion of local anesthetics in the postoperative period can improve analgesia and patients satisfaction after...
The purpose of this study is to determine whether an intraarticular injection of Ozone into the knee joint is an effective therapy for pain control in patients with osteoarthritis of the k...