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Neue Studie zur microinvasiven Kalkentfernung bei der Kalkschulter

Diese Studie kommt zu folgendem Ergebnis:

Die Ultraschallgestützte Perforation und Nadellavage ist eine Effektive und Sichere Behandlung von Verkalkungen an den Schultersehnen. Komplikationen werden nur sehr selten gefunden.

Ultraschall Med. 2011 Jan;32 Suppl 1:S117-23. Epub 2010 Apr 22.

US-guided therapy of calcific tendinopathy: clinical and radiological outcome assessment in shoulder and non-shoulder tendons.

De Zordo T, Ahmad N, Ødegaard F, Girtler MT, Jaschke W, Klauser AS, Chhem RK, Romagnoli C.

Abstract PURPOSE: To analyze the effectiveness and complication rate of ultrasound (US)-guided perforation and lavage using a two-needle technique with 16 - 18 G needles in the treatment of patients with calcific tendinopathy in the shoulder, elbow, hip, and knee by radiological and clinical follow-up. MATERIALS AND METHODS: A retrospective chart review was performed and 40 patients (13 male, 27 female; mean age, 53.5 years; range 24 -74 years) were identified as having received US-guided perforation and lavage due to symptomatic calcific tendinopathy of the rotator cuff tendons, triceps, extensor and flexor tendons at the elbow, rectus femoris tendon and patellar tendons. The radiographic outcome was assessed by comparison of the size and quality of the calcification before and 6 weeks after the procedure. On US images, the quality of the acoustic shadow was assessed, together with other alterations of the tendon and surrounding tissue. Patients were interviewed by telephone to assess the clinical outcome regarding pre-treatment and post-treatment pain and tendon function. RESULTS: 34 shoulder tendons and 6 non-shoulder tendons were identified. The mean calcium reduction was 39.9 mm(2) (range, 0 - 215; p < 0.001), while 80 % of patient showed a resolution of more than 60 % resulting in good clinical improvement. A very low complication rate was found (1 partial tear). CONCLUSION: The US-guided perforation and lavage technique is an effective and safe treatment for rotator cuff calcifications as well as for other body tendons. Although the two-needle technique and large needles were used in this study, a very low complication rate was detected

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Schnellere Hilfe bei akuter Kalkschulter
Unsere Praxis soll Referenz für Schulterarthroskop...

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Aus dem Archiv

Dr. Holger Gross
11 March 2016
Allgemein
Wenn ein Kalkdepot aufbricht fangen oft hoch akut Schmerzen an. Der Kalk tritt in den Schleimbeutel ein und verursacht hier eine schwere Entzündung. Die sogenannte Bursitis calcarea. Die oftmals große...
Dr. Holger Gross
21 November 2014
Therapien
Im September2014 wurde in den USA eine neue Studie präsentiert. Ziel dieser vergleichenden Studie war die Wirksamkeit der Ultraschallgestützten  Nadellavage zur Therapie der Kalkschulter (Tendini...

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Ihr Arzt

  • Herr Dr.med. Holger Groß Facharzt fur Orthopädie und Sportmedizin, Schulter- und Kniechirurgie, Ambulante Operationen

    Allg. Sprechstunde: +49.6831.3100 +49.6831.5031792 info@dr-gross.de
  • Herr Dr.med. Holger Groß Facharzt fur Orthopädie und Sportmedizin, Schulter- und Kniechirurgie, Ambulante Operationen

    Allg. Sprechstunde: +49.6831.3100 +49.6831.5031792 info@dr-gross.de