Ultrasound-guided percutaneous irrigation of calcific tendinopathy: technical developments

Francesco Pagnini; Fabiano Vito D'Amuri; Andrea Bevilacqua; Vittorio Sabatino; Umberto Russo; Marcello Zappia; Raffaele Natella; Pierpaolo Palumbo; Silvia Pradella; Vittorio Miele; Massimo De Filippo

doi:10.23750/abm.v90i5-S.8333

Ultrasound-guided percutaneous irrigation of calcific tendinopathy: technical developments

Authors

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.

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Published

24-04-2019

Issue

Vol. 90 No. 5-S (2019): Advances in Diagnostic and Interventional Radiology - Guest Editors: Massimo De Filippo, Luca Brunese, Alfonso Reginelli

Section

REVIEWS

License

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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How to Cite

Pagnini F, D'Amuri FV, Bevilacqua A, et al. Ultrasound-guided percutaneous irrigation of calcific tendinopathy: technical developments. Acta Biomed. 2019;90(5-S):95-100. doi:10.23750/abm.v90i5-S.8333

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