Skip to main content
Erschienen in: Skeletal Radiology 1/2013

01.01.2013 | Review Article

Double-needle ultrasound-guided percutaneous treatment of rotator cuff calcific tendinitis: tips & tricks

verfasst von: Luca Maria Sconfienza, Sara Viganò, Chiara Martini, Alberto Aliprandi, Pietro Randelli, Giovanni Serafini, Francesco Sardanelli

Erschienen in: Skeletal Radiology | Ausgabe 1/2013

Einloggen, um Zugang zu erhalten

Abstract

Rotator cuff calcific tendinitis is a very common disease and may result in a very painful shoulder. Aetiology of this disease is still poorly understood. When symptoms are mild, this disease may be treated conservatively. Several treatment options have been proposed. Among them, ultrasound-guided procedures have been recently described. All procedures use one or two needles to inject a fluid, to dissolve calcium and to aspirate it. In the present article, we review some tips and tricks that may be useful to improve performance of an ultrasound-guided double-needle procedure.
Literatur
1.
2.
Zurück zum Zitat Serafini G, Sconfienza LM, Lacelli F, Silvestri E, Aliprandi A, Sardanelli F. Rotator cuff calcific tendonitis: short-term and 10-year outcomes after two-needle us-guided percutaneous treatment–nonrandomized controlled trial. Radiology. 2009;252:157–64.PubMedCrossRef Serafini G, Sconfienza LM, Lacelli F, Silvestri E, Aliprandi A, Sardanelli F. Rotator cuff calcific tendonitis: short-term and 10-year outcomes after two-needle us-guided percutaneous treatment–nonrandomized controlled trial. Radiology. 2009;252:157–64.PubMedCrossRef
3.
4.
Zurück zum Zitat Sharma P, Maffulli N. Tendon injury and tendinopathy: healing and repair. J Bone Joint Surg Am. 2005;87:187–202.PubMedCrossRef Sharma P, Maffulli N. Tendon injury and tendinopathy: healing and repair. J Bone Joint Surg Am. 2005;87:187–202.PubMedCrossRef
5.
Zurück zum Zitat Bianchi S, Martinoli C, Shoulder in Bianchi S, Martinoli C, eds. Ultrasound of the musculoskeletal system, Berlin, Germany: Springer-Verlag, 2007;190–331 Bianchi S, Martinoli C, Shoulder in Bianchi S, Martinoli C, eds. Ultrasound of the musculoskeletal system, Berlin, Germany: Springer-Verlag, 2007;190–331
6.
Zurück zum Zitat Hamada J, Ono W, Tamai K, Saotome K, Hoshino T. Analysis of calcium deposits in calcific periarthritis. J Rheumatol. 2001;28:809–13.PubMed Hamada J, Ono W, Tamai K, Saotome K, Hoshino T. Analysis of calcium deposits in calcific periarthritis. J Rheumatol. 2001;28:809–13.PubMed
7.
Zurück zum Zitat Leduc BE, Caya J, Tremblay S, Bureau NJ, Dumont M. Treatment of calcifying tendinitis of the shoulder by acetic acid iontophoresis: a double-blind randomized controlled trial. Phys Med Rehabil. 2003;84:1523–7.CrossRef Leduc BE, Caya J, Tremblay S, Bureau NJ, Dumont M. Treatment of calcifying tendinitis of the shoulder by acetic acid iontophoresis: a double-blind randomized controlled trial. Phys Med Rehabil. 2003;84:1523–7.CrossRef
8.
Zurück zum Zitat Ebenbichler G. Ultrasound therapy for calcific tendinitis of the shoulder. N Engl J Med. 1999;340:1582–4.CrossRef Ebenbichler G. Ultrasound therapy for calcific tendinitis of the shoulder. N Engl J Med. 1999;340:1582–4.CrossRef
9.
Zurück zum Zitat Mouzopoulos G, Stamatakos M, Mouzopoulos D, Tzurbakis M. Extracorporeal shock wave treatment for shoulder calcific tendonitis: a systematic review. Skeletal Radiol. 2007;36:803–11.PubMedCrossRef Mouzopoulos G, Stamatakos M, Mouzopoulos D, Tzurbakis M. Extracorporeal shock wave treatment for shoulder calcific tendonitis: a systematic review. Skeletal Radiol. 2007;36:803–11.PubMedCrossRef
10.
Zurück zum Zitat Wittenberg RH. Surgical or conservative treatment for chronic rotator cuff calcifying tendinitis—a matched-pair analysis of 100 patients. Arch Orthop Trauma Surg. 2001;121:56–9.PubMedCrossRef Wittenberg RH. Surgical or conservative treatment for chronic rotator cuff calcifying tendinitis—a matched-pair analysis of 100 patients. Arch Orthop Trauma Surg. 2001;121:56–9.PubMedCrossRef
11.
Zurück zum Zitat Rubenthaler F. Prospective randomized surgical treatments for calcifying tendinopathy. Clin Orthop Relat Res. 2003;410:278–84.PubMedCrossRef Rubenthaler F. Prospective randomized surgical treatments for calcifying tendinopathy. Clin Orthop Relat Res. 2003;410:278–84.PubMedCrossRef
12.
Zurück zum Zitat Comfort TH, Arafiles RP. Barbotage of the shoulder with image-intensified fluoroscopic control of needle placement for calcific tendinitis. Clin Orthop Relat Res. 1978;135:171–8.PubMed Comfort TH, Arafiles RP. Barbotage of the shoulder with image-intensified fluoroscopic control of needle placement for calcific tendinitis. Clin Orthop Relat Res. 1978;135:171–8.PubMed
13.
Zurück zum Zitat Bradley M, Bhamra MS, Robson MJ. Ultrasound guided aspiration of symptomatic supraspinatus calcific deposits. Br J Radiol. 1995;68:716–9.PubMedCrossRef Bradley M, Bhamra MS, Robson MJ. Ultrasound guided aspiration of symptomatic supraspinatus calcific deposits. Br J Radiol. 1995;68:716–9.PubMedCrossRef
14.
Zurück zum Zitat Galletti S, Magnani M, Rotini R, et al. The echo-guided treatment of calcific tendinitis of the shoulder. Chir Organi Mov. 2004;89:319–23.PubMed Galletti S, Magnani M, Rotini R, et al. The echo-guided treatment of calcific tendinitis of the shoulder. Chir Organi Mov. 2004;89:319–23.PubMed
15.
Zurück zum Zitat Aina R, Cardinal E, Bureau NJ, Aubin B, Brassard P. Calcific shoulder tendinitis: treatment with modified US-guided fine-needle method. Radiology. 2001;221:455–61.PubMedCrossRef Aina R, Cardinal E, Bureau NJ, Aubin B, Brassard P. Calcific shoulder tendinitis: treatment with modified US-guided fine-needle method. Radiology. 2001;221:455–61.PubMedCrossRef
16.
Zurück zum Zitat Farin PU, Rasanen H, Jaroma H, Harju A. Rotator cuff calcifications: treatment with ultrasound-guided percutaneous needle aspiration and lavage. Skeletal Radiol. 1996;25:551–4.PubMedCrossRef Farin PU, Rasanen H, Jaroma H, Harju A. Rotator cuff calcifications: treatment with ultrasound-guided percutaneous needle aspiration and lavage. Skeletal Radiol. 1996;25:551–4.PubMedCrossRef
17.
Zurück zum Zitat del Cura JL, Torre I, Zabala R. Legórburu A Sonographically guided percutaneous needle lavage in calcific tendinitis of the shoulder: short- and long-term results. AJR Am J Roentgenol. 2007;189:W128–34.PubMedCrossRef del Cura JL, Torre I, Zabala R. Legórburu A Sonographically guided percutaneous needle lavage in calcific tendinitis of the shoulder: short- and long-term results. AJR Am J Roentgenol. 2007;189:W128–34.PubMedCrossRef
18.
Zurück zum Zitat Sconfienza LM, Serafini G, Sardanelli F. Treatment of calcific tendinitis of the rotator cuff by ultrasound-guided single-needle lavage technique. AJR Am J Roentgenol. 2011;197:W366.PubMedCrossRef Sconfienza LM, Serafini G, Sardanelli F. Treatment of calcific tendinitis of the rotator cuff by ultrasound-guided single-needle lavage technique. AJR Am J Roentgenol. 2011;197:W366.PubMedCrossRef
19.
Zurück zum Zitat Giacomoni P, Siliotto R. Echo-guided percutaneous treatment of chronic calcific tendinitis of the shoulder. Radiol Med (Torino). 1999;98:386–90. Giacomoni P, Siliotto R. Echo-guided percutaneous treatment of chronic calcific tendinitis of the shoulder. Radiol Med (Torino). 1999;98:386–90.
20.
Zurück zum Zitat Farin PU, Jaroma HJ. Sonographic findings of rotator cuff calcifications. J Ultrasound Med. 1995;14:7–14.PubMed Farin PU, Jaroma HJ. Sonographic findings of rotator cuff calcifications. J Ultrasound Med. 1995;14:7–14.PubMed
21.
Zurück zum Zitat Sconfienza LM, Bandirali M, Serafini G, et al. Rotator Cuff Calcific Tendinitis: Does Warm Saline Solution Improve the Short-term Outcome of Double-Needle US-guided Treatment? Radiology. 2012;262:560–6.PubMedCrossRef Sconfienza LM, Bandirali M, Serafini G, et al. Rotator Cuff Calcific Tendinitis: Does Warm Saline Solution Improve the Short-term Outcome of Double-Needle US-guided Treatment? Radiology. 2012;262:560–6.PubMedCrossRef
22.
Zurück zum Zitat De Zordo T, Ahmad N, Ødegaard F, et al. US-guided therapy of calcific tendinopathy: clinical and radiological outcome assessment in shoulder and non-shoulder tendons. Ultraschall Med. 2011;32:S117–23.PubMedCrossRef De Zordo T, Ahmad N, Ødegaard F, et al. US-guided therapy of calcific tendinopathy: clinical and radiological outcome assessment in shoulder and non-shoulder tendons. Ultraschall Med. 2011;32:S117–23.PubMedCrossRef
23.
Zurück zum Zitat Fowler C, McCracken D. US probes—Risk of cross infection and ways to reduce it—Comparison of cleaning methods. Radiology. 1999;213:299–300.PubMed Fowler C, McCracken D. US probes—Risk of cross infection and ways to reduce it—Comparison of cleaning methods. Radiology. 1999;213:299–300.PubMed
24.
Zurück zum Zitat Weidner S, Kellner W, Kellner H. Interventional radiology and the musculoskeletal system. Best Pract Res Clin Rheumatol. 2004;18:945–56.PubMedCrossRef Weidner S, Kellner W, Kellner H. Interventional radiology and the musculoskeletal system. Best Pract Res Clin Rheumatol. 2004;18:945–56.PubMedCrossRef
25.
Zurück zum Zitat Caturelli E, Giacobbe A, Facciorusso D, et al. Free-hand technique with ordinary antisepsis in abdominal US-guided fine-needle punctures: three-year experience. Radiology. 1996;199:721–3.PubMed Caturelli E, Giacobbe A, Facciorusso D, et al. Free-hand technique with ordinary antisepsis in abdominal US-guided fine-needle punctures: three-year experience. Radiology. 1996;199:721–3.PubMed
26.
Zurück zum Zitat Niesel HC. Local anesthetics: maximum recommended doses. Anaesthesiol Reanim. 1997;22:60–2.PubMed Niesel HC. Local anesthetics: maximum recommended doses. Anaesthesiol Reanim. 1997;22:60–2.PubMed
27.
Zurück zum Zitat De Smet AA. Ultrasound-guided injections and aspirations of the extremities. Semin Roentgenol. 2004;39:145–54.PubMedCrossRef De Smet AA. Ultrasound-guided injections and aspirations of the extremities. Semin Roentgenol. 2004;39:145–54.PubMedCrossRef
28.
Zurück zum Zitat del Cura JL. Ultrasound-guided therapeutic procedures in the musculoskeletal system. Curr Probl Diagn Radiol. 2008;37:203–18.PubMedCrossRef del Cura JL. Ultrasound-guided therapeutic procedures in the musculoskeletal system. Curr Probl Diagn Radiol. 2008;37:203–18.PubMedCrossRef
29.
Zurück zum Zitat Wiberg E, Wiberg N, Holleman AF. Inorganic chemistry. London, England: Academic Press; 2001. p. 810–1. Wiberg E, Wiberg N, Holleman AF. Inorganic chemistry. London, England: Academic Press; 2001. p. 810–1.
Metadaten
Titel
Double-needle ultrasound-guided percutaneous treatment of rotator cuff calcific tendinitis: tips & tricks
verfasst von
Luca Maria Sconfienza
Sara Viganò
Chiara Martini
Alberto Aliprandi
Pietro Randelli
Giovanni Serafini
Francesco Sardanelli
Publikationsdatum
01.01.2013
Verlag
Springer-Verlag
Erschienen in
Skeletal Radiology / Ausgabe 1/2013
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-012-1462-x

Weitere Artikel der Ausgabe 1/2013

Skeletal Radiology 1/2013 Zur Ausgabe

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.