Michail E Klontzas1,2, Evangelia E Vassalou1, Apostolos H Karantanas3. 1. Department of Medical Imaging, University Hospital and Department of Radiology, University of Crete, 71110, Heraklion, Crete, Greece. 2. Department of Chemical Engineering, Imperial College London, London, UK. 3. Department of Medical Imaging, University Hospital and Department of Radiology, University of Crete, 71110, Heraklion, Crete, Greece. akarantanas@gmail.com.
Abstract
OBJECTIVES: Rotator cuff calcific tendinopathy (RCCT) with intraosseous extension is a rare complication of tendinous and peritendinous involvement. The purpose of our study is to evaluate the outcome of ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT) in patients with intraosseous involvement. MATERIALS AND METHODS: From January 2011 to June 2014, patients with a clinical and imaging diagnosis of RCCT were prospectively categorised in two groups based on imaging findings: group A (10 patients) with intraosseous RCCT and group B (control group 35 patients) without osseous involvement. US-PICT followed by subacromial injection was applied to all patients in groups A and B. During a 1-year follow-up, treatment outcome in terms of pain and functional improvement was evaluated at 3 weeks, 3 months, 6 months, and 1 year, with the use of a four-grade scale. The study has been approved by our hospital's ethics committee. RESULTS: Mean improvement scores of group A were significantly lower than those of group B at all time points (p < 0.0001). Improvement of group B was noted mainly within the first 3 months post-treatment (p = 0.016). CONCLUSION: Outcomes of ultrasound-guided treatment in cases of RCCT with intraosseous extension are significantly less favourable than in purely tendinous or peritendinous disease.
OBJECTIVES: Rotator cuff calcific tendinopathy (RCCT) with intraosseous extension is a rare complication of tendinous and peritendinous involvement. The purpose of our study is to evaluate the outcome of ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT) in patients with intraosseous involvement. MATERIALS AND METHODS: From January 2011 to June 2014, patients with a clinical and imaging diagnosis of RCCT were prospectively categorised in two groups based on imaging findings: group A (10 patients) with intraosseous RCCT and group B (control group 35 patients) without osseous involvement. US-PICT followed by subacromial injection was applied to all patients in groups A and B. During a 1-year follow-up, treatment outcome in terms of pain and functional improvement was evaluated at 3 weeks, 3 months, 6 months, and 1 year, with the use of a four-grade scale. The study has been approved by our hospital's ethics committee. RESULTS: Mean improvement scores of group A were significantly lower than those of group B at all time points (p < 0.0001). Improvement of group B was noted mainly within the first 3 months post-treatment (p = 0.016). CONCLUSION: Outcomes of ultrasound-guided treatment in cases of RCCT with intraosseous extension are significantly less favourable than in purely tendinous or peritendinous disease.
Authors: Markus Maier; Johanna Schmidt-Ramsin; Christian Glaser; Anne Kunz; Helmut Küchenhoff; Thomas Tischer Journal: Acta Orthop Belg Date: 2008-10 Impact factor: 0.500
Authors: Donald J Flemming; Mark D Murphey; Kris M Shekitka; H Thomas Temple; James J Jelinek; Mark J Kransdorf Journal: AJR Am J Roentgenol Date: 2003-10 Impact factor: 3.959
Authors: Ludger Gerdesmeyer; Stefan Wagenpfeil; Michael Haake; Markus Maier; Markus Loew; Klaus Wörtler; Renee Lampe; Romain Seil; Gerhart Handle; Susanne Gassel; Jan D Rompe Journal: JAMA Date: 2003-11-19 Impact factor: 56.272
Authors: Vito Chianca; Domenico Albano; Carmelo Messina; Federico Midiri; Giovanni Mauri; Alberto Aliprandi; Michele Catapano; Lorenzo Carlo Pescatori; Cristian Giuseppe Monaco; Salvatore Gitto; Anna Pisani Mainini; Angelo Corazza; Santi Rapisarda; Grazia Pozzi; Antonio Barile; Carlo Masciocchi; Luca Maria Sconfienza Journal: Acta Biomed Date: 2018-01-19