Ultrasound-guided or arthroscopic treatment of calcific tendinopathy (shoulder calcifications)
Ultrasound-guided or arthroscopic treatment for calcific tendinopathy: which should you choose?
TL;DR
Calcific tendinopathy of the shoulder is a common painful condition.
Treatment options include ultrasound-guided and arthroscopic techniques.
The choice of treatment depends on the severity and the patient's response.
A practical approach to calcific tendinopathy of the shoulder
Calcific tendinopathy of the shoulder is a condition characterized by the deposition of calcium crystals in the rotator cuff tendons, which can cause severe pain and limited movement. This condition is particularly common among middle-aged adults and can significantly impact quality of life. In recent years, several treatment options have emerged, including ultrasound-guided and arthroscopic techniques, each with its own advantages and disadvantages.
What is Calcific Tendinopathy?
Calcific tendinopathy is a condition in which calcium deposits form in the tendons, particularly in the rotator cuff. These deposits can cause inflammation and pain, making it difficult to perform daily activities. Symptoms can range from mild to severe and include sharp pain, stiffness, and limited range of motion.
Treatment options
1. Ultrasound-guided treatment
Ultrasound-guided treatment, such as ultrasound-guided percutaneous irrigation (US-PICT), has become one of the first choices for managing calcific tendinopathy. This technique involves the use of ultrasound to guide the insertion of a needle into the calcium deposit, allowing for aspiration of the calcified material and the injection of saline or anesthetic solutions. The advantages of this approach include:
- Minimally invasive: It does not require surgical incisions.
- Quick Recovery: Patients can quickly return to their daily activities.
- Low risk of complications: Complications are rare and generally minor.
2. Arthroscopic treatment
Arthroscopy is a minimally invasive surgery that allows for visualization and treatment of shoulder conditions through small incisions. During arthroscopy, the surgeon can remove calcium deposits and repair any tendon injuries. The advantages of this approach include:
- Live View: It allows a direct assessment of the rotator cuff and surrounding structures.
- Simultaneous treatment of other pathologies: If there are other injuries, such as rotator cuff tears, they can be treated in the same surgery.
- Long-term results: Patients often report lasting improvement in function and reduced pain.
However, arthroscopy carries a higher risk of complications than ultrasound-guided techniques and requires a longer recovery period.
Which treatment should you choose?
The choice between ultrasound-guided and arthroscopic treatment depends on various factors, including:
- Severity of the condition: More severe forms of calcific tendinopathy may require arthroscopic surgery.
- Response to conservative treatments: If conservative treatments have been unsuccessful, arthroscopy may be necessary.
- Patient preferences: It is essential to consider the patient's preferences and expectations regarding treatment and recovery.
Important considerations and practical applications
In conclusion, calcific tendinopathy of the shoulder is a common condition that can be effectively treated with ultrasound-guided or arthroscopic approaches. Treatment choices should be individualized based on the severity of the condition, response to conservative treatments, and patient preferences. It is essential that patients are informed about available options and potential outcomes so they can make informed decisions about their treatment.
Useful Resources
- Dr. Gabriele Vasario, Shoulder Orthopedist, Turin
- Other Content and News on Shoulder Surgery
- Patient Resources
- Finding scientific answers autonomously with artificial intelligence
- Search for scientific answers independently in the world's largest database
- SICSeG (Italian Society of Shoulder and Elbow Surgery)
Bibliography
- Silva, R., & Pimentel, A. (2020). Calcific Tendinopathy of the Rotator Cuff. Current Solutions. Progress in Orthopedic Science. Link【1†source】.
- Messina, C., & Sconfienza, L. (2016). Ultrasound-Guided Percutaneous Irrigation of Calcific Tendinopathy. Seminars in Musculoskeletal Radiology. Link【2†source】.
- Sansone, V., et al. (2018). Calcific tendinopathy of the shoulder: clinical perspectives into the mechanisms, pathogenesis, and treatment. Orthopedic Research and Reviews. Link【4†source】.
- Chianca , V. , et al. (2022). Ultrasound-guided percutaneous irrigation of rotator cuff calcific tendinosis. Polish Journal of Radiology. Link【20†source】.