Ultrasound-guided interventional procedures around the shoulder

Messina, Carmelo; Banfi, Giuseppe; Orlandi, Davide; Lacelli, Francesca; Serafini, Giovanni; Mauri, Giovanni; Secchi, Francesco; Silvestri, Enzo; Sconfienza, Luca Maria

doi:10.1259/bjr.20150372

Cited by 80 publications

(59 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bursas Some studies have recently investigated the possible role of US-guided injections importance in different bursas, including the subacromial bursa 70 ; however, it is not univocally known whether HA could improve the composition of the synovial fluid of bursa pathologies 71 .…”

Section: Level Of Recommendation: Dmentioning

confidence: 99%

I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines

Frizziero

Vittadini

Oliva

et al. 2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Section: Level Of Recommendation: Dmentioning

confidence: 99%

I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines

Frizziero

Vittadini

Oliva

et al. 2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

“…Different approaches have been reported for US-PICT, all including the use of a fluid (local anesthetic or saline solution) to dissolve calcified deposits and one [11][12][13] or two needles [14][15][16] to inject and retrieve the fluid/dissolved calcium. 5,17 This review describes both one-and two-needle US-PICT techniques, and it also provides some tips and tricks based on daily routine experience that can improve practical performance.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-Guided Percutaneous Irrigation of Calcific Tendinopathy

Messina

Sconfienza

2016

Semin Musculoskelet Radiol

Self Cite

View full text Add to dashboard Cite

Rotator cuff calcific tendinopathy (RCCT) is a common disease that may cause highly disabling shoulder pain. No treatment is required for asymptomatic calcifications; mild symptoms may be treated conservatively. Among several therapeutic options, ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT) is currently accepted as the first-line safe and effective treatment for RCCT, with significant pain improvement and a very low rate of minor complications. Different approaches have been reported to dissolve calcified deposits, all including the use of a fluid (local anesthetic or saline solution) and the use of one or two needles to inject and retrieve the fluid/dissolved calcium. This review describes both one-needle and two-needle US-PICT techniques, providing technical and practical information that can improve daily clinical practice.

show abstract

“…Extracorporeal shockwave therapy and surgery can be used. However, ultrasonography (US)guided percutaneous irrigation of calcific tendinopathy is widely performed throughout the world; it currently represents the first-line treatment for this condition (8,9) because it is quick, inexpensive, minimally invasive, and has a low complication rate (10,11). Slightly different approaches have been reported (2,(12)(13)(14)(15)(16)(17)(18)(19), all making use of a fluid (local anesthetic or saline solution)…”

mentioning

confidence: 99%

Rotator Cuff Calcific Tendinopathy: Randomized Comparison of US-guided Percutaneous Treatments by Using One or Two Needles

Orlandi¹,

Mauri²,

Lacelli

et al. 2017

Radiology

Self Cite

View full text Add to dashboard Cite

Purpose To determine whether the use of one or two needles influences procedure performance and patient outcomes for ultrasonography (US)-guided percutaneous irrigation of calcific tendinopathy. Materials and Methods Institutional review board approval and written informed patient consent were obtained. From February 2012 to December 2014, 211 patients (77 men and 134 women; mean age, 41.6 years ± 11.6; range, 24-69 years) with painful calcific tendinopathy diagnosed at US were prospectively enrolled and randomized. Operators subjectively graded calcifications as hard, soft, or fluid according to their appearance at US. US-guided percutaneous irrigation of calcific tendinopathy (local anesthesia, needle lavage, intrabursal steroid injection) was performed in 100 patients by using the single-needle procedure and in 111 patients by using the double-needle procedure. Calcium dissolution was subjectively scored (easy = 1; intermediate = 2; difficult = 3). Procedure duration was recorded. Clinical evaluation was performed by using the Constant score up to 1 year after the procedure. The occurrence of postprocedural bursitis was recorded. Mann-Whitney U, χ, and analysis of variance statistics were used. Results No difference in procedure duration was seen overall (P = .060). Procedure duration was shorter with the double-needle procedure in hard calcifications (P < .001) and with the single-needle procedure in fluid calcifications (P = .024). Ease of calcium dissolution was not different between single- and double-needle procedures, both overall and when considering calcification appearance (P > .089). No clinical differences were found (Constant scores for single-needle group: baseline, 55 ± 7; 1 month, 69 ± 7; 3 month, 90 ± 5; 1 year, 92 ± 4; double-needle group: 57 ± 6; 71 ± 9; 89 ± 7; 92 ± 4, respectively; P = .241). In the single-needle group, nine of 100 cases (9%) of postprocedural bursitis were seen, whereas four of 111 cases (3.6%) were seen in the double-needle group (P = .180). Conclusion The only difference between using the single- or double-needle procedure when performing US-guided percutaneous irrigation of calcific tendinopathy is procedure duration in hard and fluid calcifications. Clinical outcomes are similar up to 1 year. RSNA, 2017.

show abstract

Ultrasound-guided interventional procedures around the shoulder

Cited by 80 publications

References 62 publications

I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines

I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines

Ultrasound-Guided Percutaneous Irrigation of Calcific Tendinopathy

Rotator Cuff Calcific Tendinopathy: Randomized Comparison of US-guided Percutaneous Treatments by Using One or Two Needles

Contact Info

Product

Resources

About