Ultrasound-guided percutaneous irrigation of calcific tendinopathy: technical developments

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

How to Cite

1.
Ultrasound-guided percutaneous irrigation of calcific tendinopathy: technical developments. Acta Biomed [Internet]. 2019 Apr. 24 [cited 2024 Mar. 29];90(5-S):95-100. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/8333