2021, Number 2
<< Back Next >>
Acta Med 2021; 19 (2)
Ultrasound-guided aspiration puncture vs arthroscopy of the shoulder rotator cuff calcic tendinopathy resolution
Sarasquete RJ, Domínguez GLG, Lobo OC
Language: Spanish
References: 24
Page: 180-185
PDF size: 271.37 Kb.
ABSTRACT
Introduction: Shoulder calcic tendinopathy is one of the main causes of shoulder pain of non-traumatic origin in people between 50-60 years of age, causing partial disability in the adult.
Objective: To compare the therapeutic effectiveness of puncture and ultrasound-guided aspiration (group A) with arthroscopic repair of calcifying tendinitis (group B).
Material and methods: 32 patients treated at the "Hospital de la Santa Creu i Sant Pau" in Barcelona, Spain, between february 2017 and february 2019; 17 patients formed group A and 15 group B, assessing results with clinical and radiological improvement and scales of shoulder functionality (CONSTANT and DASH) performed prior to surgery, after six months and one year.
Results: No statistically significant difference was found between groups A and B in the CONSTANT and DASH scales in the pre-surgery evaluations as well as in the six and 12 month follow-up of the procedures performed; only in two cases of group A (11.7%) were both procedures required.
Conclusions: Therapeutic effectiveness of puncture and aspiration guided by echocardiography is not statistically inferior to the arthroscopic procedure to resolve the shoulder calcifying tendonitis.
REFERENCES
Farin PU, Rasanen H, Jaroma H et al. Rotator cuff calcifications: treatment with US-guided percutaneous needle aspiration and lavage. Skeletal Radiol. 1996; 25 (6): 551-554.
Uhthoff HK, Sarkar K. Classification and definition of tendinopathies. Clin Sports Med. 1991; 10 (4): 707-720.
Louwerens JK, Sierevelt IN, van Hove RP, van den Bekerom MP, van Noort A. Prevalence of calcific deposits within the rotator cuff tendons in adults with and without subacromial pain syndrome: clinical and radiologic analysis of 1,219 patients. J Shoulder Elbow Surg. 2015; 24 (10): 1588-1593.
Diehl P, Gerdesmeyer L, Gollwitzer H, Sauer W, Tischer T. Calcific tendinitis of the shoulder. Orthopade. 2011; 40 (8): 733-746.
Oliva F, Via AG, Maffulli N. Calcific tendinopathy of the rotator cuff tendons. Sports Med Arthrosc Rev. 2011; 19 (3): 237-243.
Painter C. Subdeltoid bursitis. Boston Med Surg J. 1907; 156: 345-349.
Codman EA. Calcified deposits in the supraspinatus. In: Cod- man EA. The shoulder: rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Boston, MA: Thomas Todd. 1934, 78-215.
Bosworth BM. Examination of the shoulder for calcium deposits. J Bone Joint Surg. 1941; 23: 567-577.
Burkhead WZ. A history of the rotator cuff before Codman. J Shoulder Elbow Surg. 2011; 20 (3): 358-362.
Gohlke F. Early European contributions to rotator cuff repair at the turn of the 20th century. J Shoulder Elbow Surg. 2011; 20 (3): 352-357.
Mclaughlin HL. The selection of calcium deposits for operation; the technique and results of operation. Surg Clin North Am. 1963; 43: 1501-1504.
Castillo-González FD, Ramos-Álvarez JJ, Rodríguez-Fabián G, González-Pérez J, Calderón-Montero J. Treatment of the calcific tendinopathy of the rotator cuff by ultrasound-guided percutaneous needle lavage. Two years prospective study. Muscles Ligaments Tendons J. 2014; 4 (2): 220-225.
Depalma AF, Kruper JS. Long-term study of shoulder joints afflicted with and treated for calcific tendinitis. Clin Orthop. 1961; 20: 61-72.
Patte D, Goutallier D. Periarthritis of the shoulder. Calcifications. Rev Chir Orthop Reparatrice Appar Mot. 1988; 74 (4): 277-278.
Uhthoff HK, Loehr JW. Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management. J Am Acad Orthop Surg. 1997; 5 (4): 183-191.
Diehl P, Schauwecker J. Calcific tendinitis of the shoulder: operative and nonoperative treatment options. MMW Fortschr Med. 2014; 156 (17): 56-59.
Izadpanah K, Jaeger M, Maier D, Südkamp NP, Ogon P. Preoperative planning of calcium deposit removal in calcifying tendinitis of the rotator cuff - possible contribution of computed tomography, ultrasound and conventional X-Ray. BMC Musculoskelet Disord. 2014; 15: 385.
Filippucci E, Delle Sedie A, Riente L, Di Geso L, Carli L, Ceccarelli F et al. Ultrasound imaging for the rheumatologist. XLVII. Ultrasound of the shoulder in patients with gout and calcium pyrophosphate deposition disease. Clin Exp Rheumatol. 2013; 31 (5): 659-664.
Loew M, Sabo D, Wehrle M, Mau H. Relationship between calcifying tendinitis and subacromial impingement: a prospective radiography and magnetic resonance imaging study. J Shoulder Elbow Surg. 1996; 5 (4): 314-319.
Loew M, Jurgowski W, Mau HC, Thomsen M. Treatment of calcifying tendinitis of rotator cuff by extracorporeal shock waves: A preliminary report. J Shoulder Elbow Surg. 1995; 4 (2): 101-106.
Psaki CG, Carroll J. Acetic acid ionization; a study of determine the absorptive effects upon calcified tendinitis of the shoulder. Phys Ther Rev. 1955; 35 (2): 84-87.
Friedman MS. Calcified tendinitis of the shoulder. Am J Surg. 1957; 94 (1): 56-61.
Gatt DL, Charalambous CP. Ultrasound-guided barbotage for calcific tendonitis of the shoulder: a systematic review including 908 patients. Arthroscopy. 2014; 30: 1166-1172.
De Witte PB, Selten JW, Navas A, Nagels J, Visser CP, Nelissen RG, Reijnierse M. Calcific tendinitis of the rotator cuff: a randomized controlled trial of ultrasound-guided needling and lavage versus subacromial corticosteroids. Am J Sports Med. 2013; 41 (7): 1665-1673.