2017, Número 1
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Revista Cubana de Ortopedia y Traumatología 2017; 31 (1)
Tratamiento por vía artroscópica de la tendinitis calcificada del hombro
Álvarez LA, García LYC
Idioma: Español
Referencias bibliográficas: 51
Paginas: 118-130
Archivo PDF: 395.81 Kb.
RESUMEN
Introducción: la tendinitis calcificada es una afección frecuente en la articulación del hombro, sus principales síntomas y signos son el dolor y la pérdida del movimiento articular, el tratamiento conservador es el pilar fundamental, sin embargo, la vía artroscópica es de gran utilidad en caso de fallo del primero.
Objetivo: el objetivo de este trabajo es profundizar en aspectos como: síntomas y signos, clasificaciones, modalidades de tratamiento conservador y por último en la perspectiva quirúrgica a través de la vía artroscópica.
Método: la búsqueda de la información se realizó en un periodo de tres meses (1ro. de marzo de 2016 al 31 de mayo de 2016) y se emplearon las siguientes palabras: calcific tendinitis y subacromial impingment. A partir de la información obtenida se realizó una revisión bibliográfica de un total de 311 artículos publicados en las bases de datos PubMed, Hinari, SciELO y Medline mediante el gestor de búsqueda y administrador de referencias EndNote, de ellos se utilizaron 51 citas seleccionadas para realizar la revisión, 49 de ellas de los últimos 5 años donde se incluyeron 4 libros. Se presentan los síntomas y signos más importantes de esta entidad, así como las clasificaciones basadas en diferentes parámetros, apoyadas fundamentalmente por medios imaginológicos como la radiografía simple, ultrasonido de alta definición y la imagen de resonancia magnética.
Conclusiones: la tendinitis calcificada es una entidad frecuente; aunque el tratamiento más empleado es el conservador, la cirugía por la vía artroscópica ofrece múltiples ventajas.
REFERENCIAS (EN ESTE ARTÍCULO)
Wolf BR, Donigan JA. Calcific tendinitis. En: Johnson DH. Operative Arthroscopy. 4th ed. Philadelphia: Wolters Kluwer; 2013. p. 297-307.
Bureau NJ. Calcific tendinopathy of the shoulder. Semin Musculoskelet Radiol. 2013 Feb;17(1):80-4.
Hackett L, Millar NL, Lam P, Murrell GA. Are the symptoms of calcific tendinitis due to neoinnervation and/or neovascularization? J Bone Joint Surg Am. 2016 Feb;98(3):186-92.
ElShewy MT. Calcific tendinitis of the rotator cuff. World J Orthop. 2016 Jan;7(1):55-60.
Diehl P, Schauwecker J. Calcific tendinitis of the shoulder: operative and nonoperative treatment options. MMW Fortschr Med. 2014 Oct;156(17):56-9.
Merolla G, Singh S, Paladini P, Porcellini G. Calcific tendinitis of the rotator cuff: state of the art in diagnosis and treatment. J Orthop Traumatol. 2016 Mar;17(1):7-14.
Bannuru RR, Flavin NE, Vaysbrot E, Harvey W, McAlindon T. High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review. Ann Intern Med. 2014 Apr;160(8):542-9.
Greis AC, Derrington SM, McAuliffe M. Evaluation and nonsurgical management of rotator cuff calcific tendinopathy. Orthop Clin North Am. 2015 Apr;46(2):293-302.
Scibek JS, Carcia CR. Presentation and conservative management of acute calcific tendinopathy: a case study and literature review. J Sport Rehabil. 2012 Nov;21(4):334-42.
Yablon CM, Jacobson JA. Rotator cuff and subacromial pathology. Semin Musculoskelet Radiol. 2015 Jul;19(3):231-42.
Rodeo SA. Why do tendons hurt? Lessons from the study of calcific tendinitis: commentary on an article by Lisa Hackett, AMS, et al. "Are the symptoms of calcific tendinitis due to neoinnervation and/or neovascularization?” J Bone Joint Surg Am. 2016 Feb;98(3):e13.
De Carli A, Pulcinelli F, Rose GD, Pitino D, Ferretti A. Calcific tendinitis of the shoulder. Joints. 2014 Aug;2(3):130-6.
Kachewar SG, Kulkarni DS. Calcific tendinitis of the rotator cuff: a review. J Clin Diagn Res. 2013 Jul;7(7):1482-5.
Karahan M, Akgun U, Kocaoglu B. Calcific tendinitis. En: Milano G, Grasso A. Shoulder Arthroscopy. London: Springer Verlag; 2014. p. 355-64.
Louwerens JK, Sierevelt IN, van Hove RP, van den Bekerom MP, van Noort A. Prevalence of calcific deposits within the rotator cuff tendons in adults with and without subacromial pain syndrome: clinical and radiologic analysis of 1219 patients. J Shoulder Elbow Surg. 2015 Oct;24(10):1588-93.
Ottenheijm RP, Cals JW, Weijers R, Vanderdood K, de Bie RA, Dinant GJ. Ultrasound imaging for tailored treatment of patients with acute shoulder pain. Ann Fam Med. 2015 Jan-Feb;13(1):53-5.
Shah NP, Miller TT, Stock H, Adler RS. Sonography of supraspinatus tendon abnormalities in the neutral versus Crass and modified Crass positions: a prospective study. J Ultrasound Med. 2012 Aug;31(8):1203-8.
Nogueira-Barbosa MH, Gregio-Junior E, Lorenzato MM. Retrospective study of sonographic findings in bone involvement associated with rotator cuff calcific tendinopathy: preliminary results of a case series. Radiol Bras. 2015 Nov-Dec;48(6):353-7.
Nörenberg D, Ebersberger HU, Walter T, Ockert B, Knobloch G, Diederichs G, et al. Diagnosis of calcific tendonitis of the rotator cuff by using susceptibility-weighted MR imaging. Radiology. 2016 Feb;278(2):475-84.
Sansone V, Consonni O, Maiorano E, Meroni R, Goddi A. Calcific tendinopathy of the rotator cuff: the correlation between pain and imaging features in symptomatic and asymptomatic female shoulders. Skeletal Radiol. 2016 Jan;45(1):49-55.
Carcia CR, Scibek JS. Causation and management of calcific tendonitis and periarthritis. Curr Opin Rheumatol. 2013 Mar;25(2):204-9.
Habermeyer P, Magosch P, Lichtenberg S. Classification and scores of the shoulder. Berlin: Springer; 2006. p. 9-12.
Fusaro I, Orsini S, Diani S, Saffioti G, Zaccarelli L, Galletti S. Functional results in calcific tendinitis of the shoulder treated with rehabilitation after ultrasonic-guided approach. Musculoskelet Surg. 2011 Jul;95(Suppl 1):S31-6.
Descatha A, Thomas T, Aubert F, Aublet-Cuvelier A, Roquelaure Y. Calcific tendinitis of the shoulder and compensation consequences: calcific disorder of tendon or tendinopathy with calcification? Presse Med. 2012 May;41(5):453-4.
Sansone VC, Meroni R, Boria P, Pisani S, Maiorano E. Are occupational repetitive movements of the upper arm associated with rotator cuff calcific tendinopathies? Rheumatol Int. 2015 Feb;35(2):273-80.
Del Castillo-González F, Ramos-Álvarez JJ, Rodríguez-Fabián G, González-Pérez J, Calderón-Montero J. Treatment of the calcific tendinopathy of the rotator cuff by ultrasound-guided percutaneous needle lavage. Two years prospective study. Muscles Ligaments Tendons J. 2015 Feb;4(4):407-12.
Sconfienza LM, Viganò S, Martini C, Aliprandi A, Randelli P, Serafini G, et al. Double-needle ultrasound-guided percutaneous treatment of rotator cuff calcific tendinitis: tips & tricks. Skeletal Radiol. 2013 Jan;42(1):19-24.
Suzuki K, Potts A, Anakwenze O, Singh A. Calcific tendinitis of the rotator cuff: management options. J Am Acad Orthop Surg. 2014 Nov;22(11):707-17.
Galasso O, Amelio E, Riccelli DA, Gasparini G. Short-term outcomes of extracorporeal shock wave therapy for the treatment of chronic non-calcific tendinopathy of the supraspinatus: a double-blind, randomized, placebo-controlled trial. BMC Musculoskelet Disord. 2012 Jun;13:86.
Louwerens JK, Veltman ES, van Noort A, van den Bekerom MP. The effectiveness of high-energy extracorporeal shockwave therapy versus ultrasound-guided needling versus arthroscopic surgery in the management of chronic calcific rotator cuff tendinopathy: a systematic review. Arthroscopy. 2016 Jan;32(1):165-75.
de Witte PB, Selten JW, Navas A, Nagels J, Visser CP, Nelissen RG, et al. Calcific tendinitis of the rotator cuff: a randomized controlled trial of ultrasound-guided needling and lavage versus subacromial corticosteroids. Am J Sports Med. 2013 Jul;41(7):1665-73.
Jelsing EJ, Maida E, Smith J. A simple technique to restore needle patency during percutaneous lavage and aspiration of calcific rotator cuff tendinopathy. PMR. 2013 Mar;5(3):242-4.
Lanza E, Banfi G, Serafini G, Lacelli F, Orlandi D, Bandirali M, et al. Ultrasound-guided percutaneous irrigation in rotator cuff calcific tendinopathy: what is the evidence? A systematic review with proposals for future reporting. Eur Radiol. 2015 Jul;25(7):2176-83.
Vignesh KN, McDowall A, Simunovic N, Bhandari M, Choudur HN. Efficacy of ultrasound-guided percutaneous needle treatment of calcific tendinitis. Am J Roentgenol. 2015 Jan;204(1):148-52.
Gatt DL, Charalambous CP. Ultrasound-guided barbotage for calcific tendonitis of the shoulder: a systematic review including 908 patients. Arthroscopy. 2014 Sep;30(9):1166-72.
Kim YS, Lee HJ, Kim YV, Kong CG. Which method is more effective in treatment of calcific tendinitis in the shoulder? Prospective randomized comparison between ultrasound-guided needling and extracorporeal shock wave therapy. J Shoulder Elbow Surg. 2014 Nov;23(11):1640-6.
Ioppolo F, Tattoli M, Di Sante L, Venditto T, Tognolo L, Delicata M, et al. Clinical improvement and resorption of calcifications in calcific tendinitis of the shoulder after shock wave therapy at 6 months' follow-up: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2013 Sep;94(9):1699-706.
Ehud A, Ehud R, Alexander VT, Ali N, Giusseppe S, Ofer L. The "Hoover" (vacuum cleaner) technique for calcifying tendonitis deposits excision and removal of the calcific debris. Int J Shoulder Surg. 2012 Jul;6(3):97-8.
Oudelaar BW, Schepers-Bok R, Ooms EM, Huis In 't Veld R, Vochteloo AJ. Needle aspiration of calcific deposits (NACD) for calcific tendinitis is safe and effective: Six months follow-up of clinical results and complications in a series of 431 patients. Eur J Radiol. 2016 Apr;85(4):689-94.
Balke M, Bielefeld R, Schmidt C, Dedy N, Liem D. Calcifying tendinitis of the shoulder: midterm results after arthroscopic treatment. Am J Sports Med. 2012 Mar;40(3):657-61.
Maier D, Jaeger M, Izadpanah K, Suedkamp NP, Ogon P. Arthroscopic treatment of calcific tendinitis of the shoulder. Am J Sports Med. 2012 Jul;40(7):12-3.
Jaeger M, Berndt T, Rühmann O, Lerch S. Patients With Impingement Syndrome With and Without Rotator Cuff Tears Do Well 20 Years After Arthroscopic Subacromial Decompression. Arthroscopy. 2016 Mar;32(3):409-15.
Ellman H, Gartsman GM. Calcific tendinitis. En: Ellman H, Gartsman GM. Arthroscopic shoulder surgery and related procedures. Philadelphia: Lea & Febiger; 1993. p. 219-32.
Sabeti M, Schmidt M, Ziai P, Graf A, Nemecek E, Schueller-Weidekamm C. The intraoperative use of ultrasound facilitates significantly the arthroscopic debridement of calcific rotator cuff tendinitis. Arch Orthop Trauma Surg. 2014 May;134(5):651-6.
Denard PJ, Burkhart SS. Arhroscopic revision rotator cuff repair. J Am Acad Orthop Surg. 2011 Nov;19 (11):657-66.
Clement ND, Watts AC, Phillips C, McBirnie JM. Short-Term Outcome After Arthroscopic bursectomy debridement of rotator cuff calcific tendonopathy with and without subacromial decompression: a prospective randomized controlled trial. Arthroscopy. 2015 Sep;31(9):1680-7.
Ji JH, Shafi M, Moon CY, Park SE, Kim YJ, Kim SE. Arthroscopic suture bridge technique for intratendinous tear of rotator cuff in chronically painful calcific tendinitis of the shoulder. Orthop Surg. 2013 Nov;5(4):289-92.
Balke M, Banerjee M, Vogler T, Akoto R, Bouillon B, Liem D. Acromial morphology in patients with calcific tendinitis of the shoulder. Knee Surg Sports Traumatol Arthrosc. 2014 Feb;22(2):415-21.
Marder RA, Heiden EA, Kim S. Calcific tendonitis of the shoulder: is subacromial decompression in combination with removal of the calcific deposit beneficial? J Shoulder Elbow Surg. 2011 Sep;20(6):955-60.
Bouchard A, Garret J, Favard L, Charles H, Ollat D. Failed subacromial decompression. Risk factors. Orthop Traumatol Surg Res. 2014 Dec;100(Suppl 8):S365-9.
Merolla G, Bhat MG, Paladini P, Porcellini G. Complications of calcific tendinitis of the shoulder: a concise review. J Orthop Traumatol. 2015 Sep;16(3):175-83.