Calcific Tendinopathy of the Shoulder with Intraosseous Extension: Outcomes of Ultrasound-guided Percutaneous Irrigation

Overview

Journal Skeletal Radiol

Specialties Orthopedics
Radiology

Date 2016 Dec 3

PMID 27909786

Citations 7

Authors

Michail E Klontzas

Evangelia E Vassalou

Apostolos H Karantanas

Affiliations

Soon will be listed here.

Abstract

Objectives: Rotator cuff calcific tendinopathy (RCCT) with intraosseous extension is a rare complication of tendinous and peritendinous involvement. The purpose of our study is to evaluate the outcome of ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT) in patients with intraosseous involvement.

Materials And Methods: From January 2011 to June 2014, patients with a clinical and imaging diagnosis of RCCT were prospectively categorised in two groups based on imaging findings: group A (10 patients) with intraosseous RCCT and group B (control group 35 patients) without osseous involvement. US-PICT followed by subacromial injection was applied to all patients in groups A and B. During a 1-year follow-up, treatment outcome in terms of pain and functional improvement was evaluated at 3 weeks, 3 months, 6 months, and 1 year, with the use of a four-grade scale. The study has been approved by our hospital's ethics committee.

Results: Mean improvement scores of group A were significantly lower than those of group B at all time points (p < 0.0001). Improvement of group B was noted mainly within the first 3 months post-treatment (p = 0.016).

Conclusion: Outcomes of ultrasound-guided treatment in cases of RCCT with intraosseous extension are significantly less favourable than in purely tendinous or peritendinous disease.

Citing Articles

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