期刊
SEMINARS IN MUSCULOSKELETAL RADIOLOGY
卷 20, 期 5, 页码 409-413出版社
THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0036-1594285
关键词
shoulder; calcific tendinopathy; rotator cuff; ultrasound-guided procedures; ultrasound-guided percutaneous irrigation
Rotator cuff calcific tendinopathy (RCCT) is a common disease that may cause highly disabling shoulder pain. No treatment is required for asymptomatic calcifications; mild symptoms may be treated conservatively. Among several therapeutic options, ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT) is currently accepted as the first-line safe and effective treatment for RCCT, with significant pain improvement and a very low rate of minor complications. Different approaches have been reported to dissolve calcified deposits, all including the use of a fluid (local anesthetic or saline solution) and the use of one or two needles to inject and retrieve the fluid/dissolved calcium. This review describes both one-needle and two-needle US-PICT techniques, providing technical and practical information that can improve daily clinical practice.
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