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Vascular and Interventional Radiology |
1 From the Department of Radiology, CHUM-Hôpital Saint-Luc, 1058 Saint-Denis, Montreal, Quebec, Canada H2X 3J4 (R.A., E.C., N.J.B., B.A.); and Division of Clinical Epidemiology, MUHC-Royal Victoria Hospital, Montreal, Quebec, Canada (P.B.). Received April 18, 2000; revision requested June 9; revision received March 21, 2001; accepted April 18. Address correspondence to E.C. (e-mail: etienne.cardinal@videotron.ca).
PURPOSE: To evaluate clinical response to treatment of calcified tendinitis of the shoulder by using a modified percutaneous ultrasonography (US)-guided fine-needle technique.
MATERIALS AND METHODS: Thirty shoulders of 30 consecutive patients (23 women, seven men; mean age, 47.4 years) with chronic shoulder pain (average duration, 43.1 months) refractory to medical treatment were treated percutaneously by using a fine needle and US guidance. Patients were prospectively evaluated by using a shoulder pain and disability index consisting of 13 items and divided into two subcategories: pain and disability. The patient completed the questionnaire before the procedure and during the follow-up visit approximately 1 month later. A diagnostic US examination was also performed at that time.
RESULTS: There was a statistically significant improvement in the shoulder pain and disability index total score (27.0%) and the pain (30.5%) and disability (23.9%) scores. According to the index, these results indicate a significant clinical response.
CONCLUSION: This modified US-guided fine-needle technique for calcified tendinitis of the shoulder appears to be an effective therapy and was less aggressive than previously described percutaneous techniques.
Index terms: Shoulder, injuries, 414.253 • Shoulder, US, 414.12986 • Tendinitis, 414.253
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