The role of high-resolution ultrasonography in management of calcific tendonitis of the rotator cuff
| Autor: | Hsiao-Li Ma, Tung-Fu Huang, Hong-Jen Chiou, Yi-Hong Chou, Cheng-Yen Chang, Jinn-Jer Wu, Chung-Chuan Hsu |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty Acoustics and Ultrasonics Exacerbation Biophysics Tendonitis Rotator Cuff Tendinitis Calcinosis medicine Humans Paracentesis Radiology Nuclear Medicine and imaging Rotator cuff Ultrasonography Doppler Color Ultrasonography Interventional Aged Aged 80 and over Radiological and Ultrasound Technology business.industry Therapeutic effect Middle Aged medicine.disease Surgery medicine.anatomical_structure Tendinopathy Upper limb Female Radiology business |
| Zdroj: | Ultrasound in Medicine & Biology. 27:735-743 |
| ISSN: | 0301-5629 |
| DOI: | 10.1016/s0301-5629(01)00353-2 |
| Popis: | This article predicts the possibility of resorption of the calcific plaques in the shoulder using high-resolution ultrasonography (HRUS) and color Doppler ultrasound (CDUS), and evaluates the therapeutic effect of US-guided fine-needle multiple punctures of the calcific plaque. A total of 100 patients with calcific tendenosis were divided into 3 groups: In group 1, patients having chronic shoulder pain received conservative treatment; in group 2, patients having acute exacerbation of shoulder pain also received conservative treatment; and group 3 patients received US-guided fine-needle multiple punctures or aspiration. In CDUS, all images were classified as grade 0 (no color flow signals), grade 1 (weak spotty color flow signal), grade 2 (few rod-like color flow signals), grade 3 (many rod-like or linear color flow signals). In the follow-up study, marked improvement of patients' clinical condition with more than 50% size reduction of calcific plaque was defined as an effective treatment. There was no significant difference between group 1 and group 3 (p = 0.558) in CDUS, but there was a significant difference between group 1 and group 2 (p = 0.000), and group 2 and group 3 (p = 0.000) on the basis of classification of grade1 and gradeor = 1. There was also significant difference in the follow-up result of effective management between group 1 and group 3 (p = 0.000), and group 1 and group 2 (p = 0.000). In conclusion, HRUS with CDUS proved to be a good modality in evaluating the possibility of resorption of shoulder calcification and, if CDUSor = grade 1 in calcific tendonitis, we highly recommend conservative treatment with regular follow-up. On the other hand, if CDUSgrade 1, fine-needle repeated puncture could be considered as an effective alternative treatment. |
| Databáze: | OpenAIRE |
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