• Arch Orthop Trauma Surg · May 2014

    Randomized Controlled Trial

    The intraoperative use of ultrasound facilitates significantly the arthroscopic debridement of calcific rotator cuff tendinitis.

    • M Sabeti, M Schmidt, P Ziai, A Graf, E Nemecek, and C Schueller-Weidekamm.
    • Department for Orthopaedics and Orthopaedic Surgery, Vienna Medical School, AKH-Wien/Orthopädie, Währinger Gürtel 18-20, 1090, Vienna, Austria, manuel.sabeti@meduniwien.ac.at.
    • Arch Orthop Trauma Surg. 2014 May 1; 134 (5): 651-6.

    IntroductionDuring arthroscopy, the localization of calcific deposit in patients suffering from calcifying tendinitis can be demanding and time consuming, frequently using ionizing radiation. Intraoperative ultrasound has been recently promoted, facilitating deposit localization and reducing radiation dose.Material And MethodsIn this prospective, randomized, controlled and clinical observer-blinded pilot trial, 20 patients with calcific tendinitis were operated. In group I, the deposit was localized conventionally. In group II, the deposit was localized using intraoperative ultrasound. The needle punctures to detect the deposit and operation times were noted. Patients were postoperatively evaluated after 2 and 6 weeks and 9 months.ResultsIn group II, the needle punctures to detect the deposit were significantly lower than in group I (p < 0.0001). Operation time to localize the deposit was also significantly less in group II (p < 0.033). In both groups, patients improved significantly with increased shoulder function (p < 0.0001) and decreased pain (p < 0.0001) 2 weeks and 9 months (p < 0.001) after surgery. The difference between the groups was not significant. Excellent radiological findings were obtained in both groups after 9 months.ConclusionsIntraoperative US significantly facilitates the detection of calcific deposits during arthroscopic debridement by speeding up surgery and reducing the number of needle punctures. Hence, we have changed our method of detecting calcific deposits intraoperatively from fluoroscopy to ultrasound.

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