Calcific tendinopathy (CT) is a common condition that usually affects rotator cuff
tendons; rarely other tendons are involved (
1
,
2
,
3
). The disease can be extremely painful, and several treatments have been proposed
over the last decades. Currently, ultrasound-guided irrigation is considered the gold
standard treatment for CT, both in the common rotator cuff location as well as in
different atypical sites (
4
,
5
,
6
). Moreover, it is well known that CT of the rotator’s cuff may lead to adhesive capsulitis
(AC) of the glenohumeral joint (
7
), increasing the pain and worsening the functional impairment. Indeed, ‘frozen shoulder’
can complicate CT, usually when prolonged pain is followed by limited range of motion
resulting in secondary AC (
7
). In the recent years, several radiological signs of AC have been recognized to confirm
the diagnosis, and several minimally invasive image-guided treatments have been proposed.
Among those new treatments, ultrasound-guided percutaneous hydrodistension has proven
to be safe, effective, and easy to perform (
8
).To read this article in full you will need to make a payment
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References
- Calcific tendinitis of the shoulder.N Engl J Med. 1999; 340: 1582-1584https://doi.org/10.1056/NEJM199905203402011
- Calcium hydroxyapatite deposition disease.Radiographics. 1990; 10: 1031-1048https://doi.org/10.1148/radiographics.10.6.2175444
- Imaging of calcific tendinopathy in atypical sites by ultrasound and conventional radiography: a pictorial essay.Med Ultrason. 2022; 24: 235-241https://doi.org/10.11152/mu-3101
- Ultrasound-guided treatments for the painful shoulder.Curr Med Imaging. 2022; 18: 693-700https://doi.org/10.2174/1573405617666211206112752
- Safety and effectiveness of ultrasound-guided irrigation for painful calcific tendinopathy located outside the rotator cuff.Acad Radiol. 2022; 29: 172https://doi.org/10.1016/j.acra.2021.10.016
- Ultrasound-guided percutaneous irrigation of calcific tendinopathy outside the rotator cuff: short-term evaluation.Skeletal Radiol. 2022; 51: 2039-2044https://doi.org/10.1007/s00256-022-04035-3
- Complications of calcific tendinitis of the shoulder: a concise review.J Orthop Traumatol. 2015; 16: 175-183https://doi.org/10.1007/s10195-015-0339-x
- Current concepts in the diagnosis and treatment of adhesive capsulitis: role of diagnostic imaging and ultrasound-guided interventional procedures.Radiol Med. 2022; 127: 1390-1399https://doi.org/10.1007/s11547-022-01566-6
- Treatment for frozen shoulder combined with calcific tendinitis of the supraspinatus.Kaohsiung J Med Sci. 2008; 24: 78-84https://doi.org/10.1016/S1607-551X(08)70101-3
- Treatment of calcific tendinitis and adhesive capsulitis of the shoulder.Rev Rhum Engl Ed. 1997; 64: 619-628
Article info
Publication history
Published online: May 15, 2023
Accepted:
April 15,
2023
Received in revised form:
April 15,
2023
Received:
April 11,
2023
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved All rights reserved.
