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Semin Musculoskelet Radiol 2016; 20(05): 409-413
DOI: 10.1055/s-0036-1594285
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Ultrasound-Guided Percutaneous Irrigation of Calcific Tendinopathy

Carmelo Messina
1   Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Milano, Italy
,
Luca Maria Sconfienza
2   Radiologia/Diagnostica per Immagini con Servizio di Radiologia Interventistica, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy
3   Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano, Italy
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Publication History

Publication Date:
21 December 2016 (online)

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Abstract

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.

Keywords

shoulder - calcific tendinopathy - rotator cuff - ultrasound-guided procedures - ultrasound-guided percutaneous irrigation
 

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