Rotator Cuff Calcific Tendinopathy: Randomized Comparison of US-guided Percutaneous Treatments by Using One or Two Needles
| Autor: | Luca Maria Sconfienza, Angelo Corazza, Carmelo Messina, Davide Orlandi, Giovanni Mauri, Giovanni Serafini, Enzo Silvestri, Francesca Lacelli |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Bursitis Treatment outcome 030218 nuclear medicine & medical imaging Rotator Cuff Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Rotator cuff Prospective Studies Calcific tendinopathy Prospective cohort study Ultrasonography Interventional Aged business.industry Calcinosis Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Needles 030220 oncology & carcinogenesis Tendinopathy Procedure Duration Female Radiology Ultrasonography business |
| Zdroj: | Radiology. 285:518-527 |
| ISSN: | 1527-1315 0033-8419 |
| Popis: | Purpose To determine whether the use of one or two needles influences procedure performance and patient outcomes for ultrasonography (US)-guided percutaneous irrigation of calcific tendinopathy. Materials and Methods Institutional review board approval and written informed patient consent were obtained. From February 2012 to December 2014, 211 patients (77 men and 134 women; mean age, 41.6 years ± 11.6; range, 24-69 years) with painful calcific tendinopathy diagnosed at US were prospectively enrolled and randomized. Operators subjectively graded calcifications as hard, soft, or fluid according to their appearance at US. US-guided percutaneous irrigation of calcific tendinopathy (local anesthesia, needle lavage, intrabursal steroid injection) was performed in 100 patients by using the single-needle procedure and in 111 patients by using the double-needle procedure. Calcium dissolution was subjectively scored (easy = 1; intermediate = 2; difficult = 3). Procedure duration was recorded. Clinical evaluation was performed by using the Constant score up to 1 year after the procedure. The occurrence of postprocedural bursitis was recorded. Mann-Whitney U, χ |
| Databáze: | OpenAIRE |
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