POSTER ABSTRACTS - ISAKOS

epairs due to large sized tears and one had a
labral procedure which developed stiffness. There
were no complications attributable to the use of
the fixation device. Radiographs at one year
showed the presence of a circular defect, the same
size of the device at the cortical margin of the
glenoid and an occasional linear density could be
noted in the region of the greater tuberosity in
patients that had undergone cuff repair. There
were no cystic lesions or evidence of pathologic
changes on the radiographs. DISCUSSION: This
represents the first clinical study of a combined
PGA/PLA soft tissue fixation device used for
shoulder surgery to our knowledge. Other reports
of all PGA devices have demonstrated good
results but with occasional episodes of synovitis.
Anecdotal reports have circulated of device
failures of PLA devices and manufacturers have
withdrawn from sale certain PLA devices for
shoulder surgery. Our results suggest that the
combined PGA/PLA device performs well in the
short term and that no post-surgical
complications were attributable to its use.
E-poster #911
Shoulder Cyst with a Partial Destruction of the
Scapula as a Cause of the Shoulder
Dysfunction in Tennis Player
Michal Drwiega, Warsaw, POLAND, Presenter
Robert Smigielski, Warsaw, POLAND
Urszula Zdanowicz, Warsaw, POLAND
Carolina Medical Center, Warsaw, POLAND
Aim
To present diagnostic findings and treatment
process of shoulder disability caused by cyst with
a partial scapula destruction.
Materials and methods
44 - year old women presented to our clinic with
increasing pain of the right shoulder. She played
tennis 3 times weekly. Rtg, MRI and CT3D
examinations showed a large cyst localized at the
column of the right scapula, causing its
destruction. There was a connection between the
cyst and joint cavity. The whole cyst was removed
and the hole at the scapula was filled with bone
autograft from the hip. An intensive rehabilitation
protocol was administrated starting from the
second day after surgery. MRI was performed 24
weeks after surgery.
Results
Patient was completely free of pain 24 weeks after
surgery. She presented a full range of motion. MRI
showed a complete excision of the cyst and a
proper healing of the scapula column destruction.
An objective evaluation using Shoulder Severity
Scoring System and Athletic Shoulder Outcome
Scoring System was performed. Results are very
good. Nowadays this patient returned to tennis.
Conclusion
A cyst arising from shoulder joint cavity may
cause pain and muscle weakness but also a
dangerous bone destruction. Early diagnosis and
surgery allow to return athletes to sport.
E-poster #913
Arthroscopic Treatment of Calcifying Rotator
Cuff Tendinitis
Benno Ejnisman, Sao Paulo, BRAZIL, Presenter
Carlos Vicente Andreoli, Sao Paulo, BRAZIL
Alberto Castro Pochini, Sao Paulo, BRAZIL
Gustavo Cara Monteiro, Sao Paulo, BRAZIL
Wander Guimaraes Ama, Sao Paulo, BRAZIL
Moises Cohen, Sao Paulo, BRAZIL
Federal University of Sao Paulo, Sao Paulo,
BRAZIL
Calcifying tendInitis can be a cause of pain in the
shoulder giving considerable disability in adults.
Conservative treatment is effective in 90% of
cases. The indication for the surgical treatment of
these pathology is taken when the conservative
treatment was failed. The aim of this study was
analyzed the advantages and disadvantages of
arthroscopy procedures. In a prospective clinical
study, during a period of 4 years, 17 patients with
calcareous deposits was treated arthroscopically
with 26 months follow-up (minimum of 12 months
and maximum of 57 months). Of them, 10 (58,8%)
patients showed supraspinatus calcification , 2
(11,8%) in the infraspinatus tendon, 4 (23,5%) in
the both and 1 (5,9%) patient presented deposits
in the subescapular tendon . There was no
surgical complications, 4 patients was submitted
to subacromial decompression Results were
analyzed using UCLA classification : 13 (76,5%)
excellent results; 3 (17,6%) good results and 1
(5,9%) fair results. The arthroscopic treatment is a
effective management in patients with calcifying
tendonitis when the conservative treatment fails.