Ultrasound-Guided Percutaneous Irrigation of Calcific Tendinopathy

Messina, Carmelo; Sconfienza, Luca Maria

doi:10.1055/s-0036-1594285

Cited by 25 publications

(19 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Instrumental diagnosis of osteoporosis relies on bone mineral measurements, which can be obtained in vivo using different densitometric techniques. Among these, dual energy X-ray absorptiometry (DXA) is the most widely used in clinical practice [2–4]. Advantages of DXA are the very low radiation dose administered to patients, its very good reproducibility, and the capability to provide bone mineral density (BMD) values at central sites that relate to fracture risk [3, 5].…”

Section: Introductionmentioning

confidence: 99%

A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative

et al. 2017

Self Cite

View full text Add to dashboard Cite

ObjectivesDual energy X-ray absorptiometry (DXA) is the most widely used technique to measure bone mineral density (BMD). Appropriate and accurate use of DXA is of great importance, and several guidelines have been developed in the last years. Our aim was to evaluate the quality of published guidelines on DXA for adults.MethodsBetween June and July 2016 we conducted an online search for DXA guidelines, which were evaluated by four independent readers blinded to each other using the AGREE II instrument. A fifth independent reviewer calculated scores per each domain and agreement between reviewers’ scores.ResultsFour out of 59 guidelines met inclusion criteria and were included. They were published between 2005 and 2014. Three out of four guidelines reached a high level of quality, having at least five domain scores higher than 60%. Domain 1 (Scope and Purpose) achieved the highest result (total score = 86.8 ± 3.7%). Domain 6 (Editorial Independence) had the lowest score (total score = 54.7 ± 12.5%). Interobserver agreement ranged from fair (0.230) to good (0.702).ConclusionsOverall, the quality of DXA guidelines is satisfactory when evaluated using the AGREE II instrument. The Editorial Independence domain was the most critical, thus deserving more attention when developing future guidelines.Main messages• Three of four guidelines on DXA had a high quality level (>60%).• Scope/purpose had the highest score (86.8 ± 3.7%).• Editorial Independence had the lowest score (54.7 ± 12.5%).• Interobserver agreement ranged from fair (0.230) to good (0.702).Electronic supplementary materialThe online version of this article (doi:10.1007/s13244-017-0553-6) contains supplementary material, which is available to authorized users.

show abstract

Section: Introductionmentioning

confidence: 99%

A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…to what already published in literature [11,13,17] by two different radiologists with 12 and 7 years of experience in this type of procedure. In brief, after US-guided injection of local anesthesia (10 ml of 2% lidocaine chlorhydrate) into the skin/subcutaneous tissue, the subacromial-subdeltoid bursa, and around the calcification, one 16-gauge needle was inserted within the calcification under continuous US monitoring.…”

Section: Us-pict Procedure Us-pict Was Performed Accordingmentioning

confidence: 61%

“…Over the last years, US-guided percutaneous irrigation of calcific tendinopathy (US-PICT) has become more and more widely used [10] because of its minimal invasiveness compared to surgery and its radical impact on calcifications in comparison to shock waves, since mineralized deposits are disaggregated and removed outside the tendon [11,12]. Furthermore, it has previously described how US-PICT facilitates prompt shoulder function recovery and pain relief [13].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-Guided Percutaneous Irrigation of Rotator Cuff Calcific Tendinopathy (US-PICT): Patient Experience

Albano

Gambino

Messina

et al. 2020

BioMed Research International

Self Cite

View full text Add to dashboard Cite

Purpose. To assess patients’ experience of ultrasound-guided percutaneous irrigation of rotator cuff calcific tendinopathy (US-PICT). Methods. Ninety-one patients (58 females; mean age: 50.5±8.3 years) treated by US-PICT (local anesthesia, single-needle lavage, and intrabursal steroid injection) answered to a list of questions regarding their experience of the procedure before treatment, immediately after treatment, and three months later. The Borg CR10 scale was used to evaluate perceived pain, discomfort during anesthetic injection, and anxiety. The Wilcoxon, Spearman’s rho, linear regression, and chi-square statistics were used. Results. 81/91 patients complained mild discomfort during the injection of anesthetics (2, 1-2). Pain scores during US-PICT were very low (0, 0-1), with 70% patients having not experienced pain. After treatment, we found a significant reduction of pain (before: 8, 7-8; 3-month: 3, 1-6; p<.001) and anxiety (before: 5, 2-7; during treatment: 2, 1-7; p=0.010), with high overall satisfaction (immediately after: 10, 9-10; 3-month: 9, 7-10) and confidence in the possibility of recovery (immediately after: 9, 8-10; 3-month: 10, 8-10), respectively. Treatments performed before US-PICT were not statistically associated with pain relief (p=0.389) and clinical improvement (p=0.937). We found a correlation between satisfaction immediately postprocedure and confidence in the possibility of recovery (p=0.002) and between satisfaction three months after treatment and clinical improvement (p<0.001) and patients’ reminds about the description of the procedure (p=0.005) and of the potential complications (p=0.035). Conclusions. US-PICT is a mildly painful, comfortable, and well-tolerated procedure, regardless of any previous treatments. Patients’ satisfaction is correlated with clinical benefit and full explanation of the procedure and its complications.

show abstract

“…Calcium deposits appear hyperechoic with or without posterior acoustic shadowing, while fractures appear as an interruption of the smooth cortical surface. Ultrasonography is commonly used to guide injections and more invasive procedures, such as needling and barbotage for treating calcific tendinitis [26,27]. In this study, it was seldom difficult to distinguish between acromial spurs and the coracoacromial ligament.…”

Section: Radiographsmentioning

confidence: 78%

Evaluation of acromial spur using ultrasonography

Kim

Choi

Park

et al. 2021

Clin Shoulder Elbow

View full text Add to dashboard Cite

Background: The presence of an acromial spur implies a rotator cuff disorder due to impingement between the acromial spur and the rotator cuff. The purpose of the study was to observe acromial spurs using ultrasonography and to compare measurements between plain radiographs and sonograms.Methods: We retrospectively enrolled 51 consecutive patients with acromial spurs, which were interpreted on preoperative plain radiographs (supraspinatus outlet view and 30° caudal tilt) and preoperative sonograms. The ultrasonography transducer was held vertically and continuously moved laterally, which corresponded to the long axis of the long head of the biceps. The distance from the most distal margin of the original acromion to the most projected point of the acromial spur was measured.Results: No significant difference was found between the plain radiograph and ultrasonography measurements (p=0.186). A moderate to strong correlation was detected between the ultrasonography and supraspinatus outlet-view measurements (r=0.776, p=0.000).Conclusions: Anteriorly projected acromial spurs were well-visualized by ultrasonography. No discrepancy in acromial spur length was detected between the use of plain radiography (supraspinatus outlet view and 30° caudal-tilt view) and ultrasonography. The correlation coefficients between the plain radiography and ultrasonography measurements exceeded 0.7.

show abstract

Ultrasound-Guided Percutaneous Irrigation of Calcific Tendinopathy

Cited by 25 publications

References 26 publications

A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative

A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative

Ultrasound-Guided Percutaneous Irrigation of Rotator Cuff Calcific Tendinopathy (US-PICT): Patient Experience

Evaluation of acromial spur using ultrasonography

Contact Info

Product

Resources

About