Francesco Pagnini
Department of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Parma, Italy
Fabiano Vito D'Amuri
Department of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Parma, Italy
Andrea Bevilacqua
Department of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Parma, Italy
Vittorio Sabatino
Department of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Parma, Italy
Umberto Russo
Department of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Parma, Italy
Marcello Zappia
Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy
Raffaele Natella
Department of Precision Medicine, University of Campania “L. Vanvitelli”. Naples, Italy
Pierpaolo Palumbo
Department of Biotechnology and Applied Clinical Sciences, University of L'Aquila, S. Salvatore Hospital, L'Aquila, Italy
Silvia Pradella
Department of Radiology – Careggi University Hospital, Florence, Italy
Vittorio Miele
Department of Radiology – Careggi University Hospital, Florence, Italy
Massimo De Filippo
Department of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Parma, Italy
Keywords
rotator cuff, shoulder, ultrasound-guided procedures, calcific tendinopathy, percutaneus treatments
Abstract
Rotator cuff calcific tendinopathy (RCCT) is a common and painful shoulder disease characterised by deposition of calcium into the rotator cuff’s tendond. Different therapeutic options have been proposed, but the ultrasound-guided percutaneous irrigation (US-PICT) is been proved as an effective and safe first-line treatment. It can be performed with a single- of a double-needle tecnique, using warm saline solution to improve the dissolution of the calcific deposit. The procedure is ended with an intrabursal injection of local anaesthetics and slow-release steroids to improve the pain relief and to prevent complications. US-PICT leads to significative improvement in the shoulder funtion and pain relief in the short and long term, with a low complications rate.