Rotator cuff calcifications: treatment with US-guided technique.

Farin, P.; Jaroma, H; Soimakallio, Seppo

doi:10.1148/radiology.195.3.7754018

Cited by 107 publications

(71 citation statements)

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“…Recalcitrant patients have undergone open or arthroscopic surgical removal, with success rates ranging from 70 to 92% [17][18][19]. In 1995, ultrasound-guided aspiration and lavage was introduced as a minimally invasive procedure to offer patients an attractive alternative to surgery and its associated morbidity and costs [11].…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes of Ultrasound-Guided Aspiration and Lavage in Calcific Tendinosis of the Shoulder

Lin

Adler

Bracilovic

et al. 2007

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Objective: To determine the effectiveness of ultrasound-guided aspiration and lavage in the treatment of patients with calcific tendinosis of the shoulder. Materials and methods: Retrospective chart review resulted in 44 patients who were identified as having received ultrasoundguided aspiration of calcific tendinosis of the shoulder between 2000 and 2003. Of these, 36 patients were interviewed by telephone for pre-and posttreatment assessment of pain, shoulder function, prior shoulder surgery, injury, and prescribed treatment modalities with a follow-up time of 8 months to 3.1 years (mean = 22.5 months). L_Insalata score, numeric rating scale (NRS), and patient satisfaction score served as outcome measures. Results: Our criteria for a successful outcome included (1) 12-point or greater improvement in the L_Insalata shoulder rating questionnaire, (2) 2-point or greater improvement in the NRS, (3) patient satisfaction rating of Bgood^, Bvery good^, or Bexcellent^, (4) patients_ willingness to undergo the procedure again if they experienced recurrent symptoms, and (5) 1 month or less of analgesic medication use after the aspiration procedure. We determined that ultrasound-guided aspiration of calcific tendinosis of the shoulder resulted in a successful outcome for 75% (27/36) of patients with a mean 20.2-point improvement in the L_Insalata shoulder rating questionnaire score and a mean 6.4-point improvement in the NRS (p < 0.01). Conclusion: This retrospective study suggests that ultrasound-guided aspiration and lavage of calcific shoulder deposits appears to be an efficacious therapeutic modality for treatment of calcific tendinosis. Further studies involving prospective randomized controlled trials would be helpful to further assess the long-term efficacy of this procedure as a minimally invasive treatment for calcific tendinosis of the shoulder.

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Section: Discussionmentioning

confidence: 99%

Clinical Outcomes of Ultrasound-Guided Aspiration and Lavage in Calcific Tendinosis of the Shoulder

Lin

Adler

Bracilovic

et al. 2007

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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“…Moreover, several articles have described successful treatment of calcific tendonitis by ultrasono-graphically guided puncture with aspiration and repeated puncture. [9][10][11] High-resolution ultrasonography (HRUS) has gradually been applied to the diagnosis and follow-up of calcific tendonitis. 8,9 Uhthoff et al 4 stated that the affected tendon was transformed into fibrocartilage with a predilection for calcification, followed by formative and resorptive phases (with vascular proliferation) and then a return of the tendon to normal.…”

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confidence: 99%

Evaluation of Calcific Tendonitis of the Rotator Cuff

Chiou

Chou

et al. 2002

Journal of Ultrasound in Medicine

101

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Objective. To use color Doppler ultrasonography to evaluate the morphology and vascularity of calcific tendonitis and to predict the formative and resorptive phases of the calcification. Methods. Ninetyfour patients with shoulder calcification on plain radiographs were enrolled in this study. Ultrasonography of the shoulder was focused on the rotator cuff. Color Doppler ultrasonography was applied in the calcific region. Patient symptoms were graded as painless, mild, moderate, and severe. The calcific plaques were classified as arc-shaped, fragmented or punctate, nodular, and cystic types. Color Doppler ultrasonographic signals were graded 0 to 3. The formative and resorptive phases of calcification were categorized by patient symptoms; acute onset of moderate or severe pain indicated the resorptive phase. Results. The calcific plaques appeared arc shaped in 59 patients (20 painless, 19 mild, and 20 moderate), fragmented or punctate in 27 (2 painless, 3 mild, 20 moderate, and 2 severe), nodular in 6 (1 moderate and 5 severe), and cystic in 2 (severe). There was a significant difference between the morphology of the calcific plaques and clinical symptoms (P < .01). On color Doppler ultrasonography, grade 0 signals were found in 28 patients (22 painless and 6 with mild pain); grade 1 in 18 (16 mild and 2 severe); grade 2 in 41 (all moderate); and grade 3 in 7 (all severe). The correspondence between color Doppler ultrasonographic findings and clinical symptoms was excellent (P < .01). Conclusions. High-resolution ultrasonography with color Doppler imaging could differentiate the formative and resorptive phases of the calcification and could be used as a follow-up modality in calcific tendonitis of the shoulder. Key words: shoulder; calcification; ultrasonography; color Doppler ultrasonography. General Hospital-Taipei, School of Medicine, National Yang Ming University, Taipei, Taiwan, Republic of China; and Section of Radiology, Taipei Municipal Ho-Ping Hospital, Taipei, Taiwan, Republic of China (D.-Y.H.)

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“…El tratamiento percutáneo de la tendinitis cálcica no es un método nuevo; se realiza bajo apoyo fluoroscópico desde 1978, no obstante, su desventaja es el uso de radiación ionizante y la potencial dificultad de localizar el depósito cálcico 15 . El lavado y aspirado de calcificaciones bajo ultrasonografía fue descrito por primera vez en 1996 por Farin et al 16 . Se han descrito diversas variantes en la técnica entre los autores que han propuesto el uso de este procedimiento, siendo la principal diferencia el uso de una aguja 6,17,18 versus dos agujas 16,19 .…”

Section: Discussionunclassified

“…El lavado y aspirado de calcificaciones bajo ultrasonografía fue descrito por primera vez en 1996 por Farin et al 16 . Se han descrito diversas variantes en la técnica entre los autores que han propuesto el uso de este procedimiento, siendo la principal diferencia el uso de una aguja 6,17,18 versus dos agujas 16,19 . Nosotros elegimos usar dos agujas, una de 19-21G para introducir la solución salina y otra gruesa de 14G para aspirar el calcio.…”

Section: Discussionunclassified

Tendinitis cálcica del manguito rotador y su lavado por ultrasonido

et al. 2017

Rev. chil. radiol.

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Rotator cuff calcifications: treatment with US-guided technique.

Abstract: Use of this US-guided technique is successful to treat calcific tendinitis in the rotator cuff without the radiation exposure of fluoroscopic guidance.

Cited by 107 publications

References 0 publications

Clinical Outcomes of Ultrasound-Guided Aspiration and Lavage in Calcific Tendinosis of the Shoulder

Clinical Outcomes of Ultrasound-Guided Aspiration and Lavage in Calcific Tendinosis of the Shoulder

Evaluation of Calcific Tendonitis of the Rotator Cuff

Tendinitis cálcica del manguito rotador y su lavado por ultrasonido

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