PHẪU THUẬT NỘI SOI KHỚP VAI ĐIỀU TRỊ VÔI HOÁ GÂN CHÓP XOAY

Abstract

Introduction: Rotator cuff calcific tendinopathy (RCCT) is a less common pathological condition compared to other shoulder-related disorders. The condition is caused by the accumulation of calcium deposits within the rotator cuff or may manifest partially in the subacromial bursa beneath the acromion when calcification spreads around the tendon. The disease typically presents clinical signs such as rapidly progressing acute shoulder pain during the reabsorptive phase, leading to discomfort and significant limitations in mobility for the patients. Clinical Cases: We would like to present 02 cases diagnosed with RCCT that failed to respond to conservative treatment and underwent arthroscopic surgery for calcification removal. Postoperative, shoulder pain symptoms and range of motion significantly improved. Subsequent X-ray imaging confirmed the absence of calcification. Discussion: Commonly occurring in middle-aged individuals, the acute pain in the shoulder region is a prominent symptom of the disease. The primary treatment for the condition involves conservative measures such as rest, physical therapy, and the use of NSAIDs. Arthroscopic surgery is considered when calcification causes chronic pain that doesn't improve with other treatment methods. Precise identification of the location of calcification through arthroscopy and the removal of as much calcification as possible are crucial in successful surgical intervention. Conclusion: Arthroscopic surgery, a minimally invasive approach, is employed to retrieve the entire calcified mass. Post-surgery, patients experience improved clinical symptoms and a rapid, noticeable restoration of range of motion. Magnetic resonance imaging is crucial for accurately delineating the morphology and location of the calcified mass.