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Arthroscopic Removal of Rotator Cuff Calcifications: Operative Technique

Introduction
In this article, we present our operative technique for the removal of rotator cuff calcifications.


Indications & Contraindications



Step 1 Setup and Patient Positioning
Perform the shoulder arthroscopy with the patient in the beach-chair position with a shoulder positioner.


Step 2 Glenohumeral Inspection
Perform an arthroscopic inspection of the glenohumeral joint to exclude concomitant lesions.


Step 3 Subacromial Inspection and Identification of Subacromial Landmarks
Ensure that subacromial placement of the arthroscope and identification of the subacromial landmarks are correct as they are necessary for localization of the rotator cuff calcification.


Step 4 Identification and Removal of Rotator Cuff Calcification
With a spinal needle, localize and needle the rotator cuff calcification.


Results
In our series, all patients undergoing arthroscopic calcification removal exhibited significant improvement in the Constant score (p = 0.003), Quick DASH (an abbreviated version of the Disabilities of the Arm, Shoulder and Hand [DASH] questionnaire) (p < 0.001), and Simple Shoulder Test (p < 0.001) at 1 year after the operation8.


Pitfalls & Challenges