ISSN: 1899-0967
Polish Journal of Radiology
Established by prof. Zygmunt Grudziński in 1926 Sun
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vol. 87
Musculoskeletal radiology
Review paper

Ultrasound-guided percutaneous irrigation of rotator cuff calcific tendinosis. What radiologist should know

Vito Chianca
Francesco Di Pietto
Domenico Albano
3, 4
Antonio Corvino
Filippo Del Grande

Clinica di Radiologia EOC IIMSI, Lugano, Switzerland
Department of Radiology, Pineta Grande Hospital, Castel Volturno, CE, Italy
IRCCS Istituto Ortopedico Galeazzi, Milano, Italy
Sezione di Scienze Radiologiche, Dipartimento di Biomedicina, Neuroscienze e Diagnostica Avanzata, Università degli Studi di Palermo, Italy
Motor Science and Wellness Department, University of Naples “Parthenope”, Naples, Italy
Pol J Radiol 2022; 87: e87-e92
Online publish date: 2022/02/13
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Rotator cuff calcific tendinopathy is a common condition caused by the presence of calcification into the rotator cuff or in the subacromial-subdeltoid bursa. The pathogenetic mechanism of this pathology is still debated. Calcific tendinitis frequently affects the rotator cuff and may cause shoulder pain and reduction of range of motion. It can be diagnosed with conventional radiography, ultrasound, or magnetic resonance imaging. The first therapeutic option includes conservative management based on rest, physical therapy, and oral non-steroid anti-inflammatory admini­stration. Extracorporeal shock wave therapy is a noninvasive technique that can be useful for the fragmentation of calcific deposits. Imaging-guided percutaneous irrigation is currently considered the gold standard technique for the treatment of calcific tendinitis due to its minimal invasiveness and its success rate of about 80%.

calcific tendinopathy, US, MRI, percutaneous treatments

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