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European Radiology
Published in: European Radiology 8/2016

01-08-2016 | Musculoskeletal

US-guided percutaneous treatment and physical therapy in rotator cuff calcific tendinopathy of the shoulder: outcome at 3 and 12 months

Authors: Giulio Pasquotti, Alex Faccinetto, Umberto Marchioro, Matteo Todisco, Vincenzo Baldo, Silvia Cocchio, Giorgio De Conti

Published in: European Radiology | Issue 8/2016

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Abstract

Objectives

To monitor the results of ultrasound (US)-guided percutaneous treatment of calcific tendinopathy of the shoulder at 12 months (T12) after treatment (T0). To verify the possible relations between some pre- and post-procedural variables with the clinical outcome at T12.

Methods

Forty-seven patients (26 female and 21 male) were enrolled in the study. Patients' approval and written informed consent were obtained. Symptoms were assessed by Constant Shoulder Score (CSS) at T0 and T12. Thirty of these also underwent a CSS control at 3 months (T3). The treatment efficacy was statistically tested for relation with location and type of calcification, characteristics of the tendon and subdeltoid bursa, impingement, and rehabilitation treatments.

Results

There was a significant increase in the average CSS value between T0 and T12 (40.7 vs. 75.3). The variables analysed did not show a statistically significant effect on the outcome at T12. A link was noticed only between patients' increasing age and score improvement, particularly among female subjects.

Conclusion

US-guided treatment of calcific tendonitis is a viable therapeutic option. No pre- or intra-procedural parameters emerged which might help in predicting the outcome, apart from patients' needs in everyday life.

Key points

• US-guided tcreatment of shoulder calcific tendinopathy is an excellent therapeutic option
• Long-term results seem greatly affected by patients’ features and needs in everyday life
• No proven pre- or intra-procedural parameters emerged that might predict the outcome
Appendix
Available only for authorised users
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Metadata
Title
US-guided percutaneous treatment and physical therapy in rotator cuff calcific tendinopathy of the shoulder: outcome at 3 and 12 months
Authors
Giulio Pasquotti
Alex Faccinetto
Umberto Marchioro
Matteo Todisco
Vincenzo Baldo
Silvia Cocchio
Giorgio De Conti
Publication date
01-08-2016
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 8/2016
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-015-4102-8

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