Summary
We performed autopsies on 195 shoulder joints in order to check the differing opinions as to the pathogenesis and incidence of tendinopathia calcarea and rupture of the rotator cuff that have been expressed in literature. There was a rupture rate of 11%. Intratendinous calcific deposits could be observed by radiology in 22% of the cases. The simultaneous presence of intratendinous calcification and rotator cuff rupture could be proved in 13 of 22 cases with a rupture of the rotator,cuff. On the basis of our results we conclude that tendinopathia calcarea and rupture of the rotator cuff have an identical pathogenesis.
Zusammenfassung
Zur Überprüfung der in der Literatur geäußerten unterschiedlichen Auffassungen zur Pathogenese und Häufigkeit der Tendinopathia calcarea und der Rotatorenmanschettenruptur wurden eigene autoptische Untersuchungen an 195 Schultergelenken durchgeführt. Es zeigte sich eine Rupturhäufigkeit von 11%. Intratendinöse Verkalkungen zeigten sich röntgenologisch in 22% der Fälle. Das gleichzeitige Vorliegen von intratendinbsen Verkalkungen und Rotatorenmanschettenrupturen konnte in 13 von 22 Fällen mit Vorliegen einer Rotatorenmanschettenruptur nachgewiesen werden. Aufgrund der Ergebnisse unserer Untersuchung ist von einer identischen Pathogenese der Tendinopathia calcarea und der Rotatorenmanschettenruptur auszugehen.
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Refior, H.J., Krödel, A. & Melzer, C. Examinations of the pathology of the rotator cuff. Arch. Orth. Traum. Surg. 106, 301–308 (1987). https://doi.org/10.1007/BF00454338
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DOI: https://doi.org/10.1007/BF00454338