Intra-operative ultrasound facilitates the localization of the calcific deposit during arthroscopic treatment of calcifying tendinitis
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Calcifying tendinitis is a common condition of the shoulder. In many cases, arthroscopic reduction in the deposit is indicated. The localization of the deposit is sometimes challenging and time-consuming. Pre-operative ultrasound (US)-guided needle placement in the deposit and pre-operative US marking of the deposit at the skin with a ballpoint are described and recommended methods to alleviate the procedure without using ionizing radiation by fluoroscopy.
Intra-operative sonography of the shoulder is introduced as a new method to localize the calcific deposit with high accuracy. After standard arthroscopic buresectomy, the surgeon performs an ultrasound examination under sterile conditions to localize the deposits. A ventral longitudinal US section is recommended, and the upper arm is rotated until the deposit is visible. Subsequently, perpendicular to the skin at the position of the transducer, a needle is introduced under arthroscopic and ultrasound visualization to puncture the deposit.
The presence of snow-white crystals at the tip of the needle proves the exact localization. Consecutively, the curettage can be accomplished. Another intra-operative sonography evaluates possible calcific remnants and the tendon structure.
This new technique may alleviate arthroscopic calcific deposit curettage by visualizing the deposit without using ionizing radiation. Additionally, soft tissue damage due to decreased number of punctures to detect the deposit may be achieved. Both factors may contribute to reduced operation time.
- Lorbach O, Kusma M, Pape D, Kohn D, Dienst M (2008) Influence of deposit stage and failed ESWT on the surgical results of arthroscopic treatment of calcifying tendonitis of the shoulder. Knee Surg Sports Traumatol Arthrosc 16:516–521 CrossRef
- Bethune R, Bull AM, Dickinson RJ, Emery RJ (2007) Removal of calcific deposits of the rotator cuff tendon using an intra-articular ultrasound probe. Knee Surg Sports Traumatol Arthrosc 15:289–291 CrossRef
- Franceschi F, Longo UG, Ruzzini L, Rizzello G, Denaro V (2007) Arthroscopic management of calcific tendinitis of the subscapularis tendon. Knee Surg Sports Traumatol Arthrosc 15:1482–1485 CrossRef
- Ifesanya A, Scheibel M (2007) Arthroscopic treatment of calcifying tendonitis of subscapularis and supraspinatus tendon: a case report. Knee Surg Sports Traumatol Arthrosc 15:1473–1477 CrossRef
- Seil R, Litzenburger H, Kohn D, Rupp S (2006) Arthroscopic treatment of chronically painful calcifying tendinitis of the supraspinatus tendon. Arthroscopy 22:521–527 CrossRef
- Seyahi A, Demirhan M (2009) Arthroscopic removal of intraosseous and intratendinous deposits in calcifying tendinitis of the rotator cuff. Arthroscopy 25:590–596 CrossRef
- Yoo JC, Park WH, Koh KH, Kim SM (2010) Arthroscopic treatment of chronic calcific tendinitis with complete removal and rotator cuff tendon repair. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-010-1067-7
- Kayser R, Hampf S, Seeber E, Heyde CE (2007) Value of preoperative ultrasound marking of calcium deposits in patients who require surgical treatment of calcific tendinitis of the shoulder. Arthroscopy 23:43–50 CrossRef
- Sørensen L, Teichert G, Skjødt T, Dichmann OL (2004) Preoperative ultrasonographic-guided marking of calcium deposits in the rotator cuff facilitates localization during arthroscopic surgery. Arthroscopy 20:103–104 CrossRef
- Intra-operative ultrasound facilitates the localization of the calcific deposit during arthroscopic treatment of calcifying tendinitis
Knee Surgery, Sports Traumatology, Arthroscopy
Volume 18, Issue 12 , pp 1792-1794
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- Calcific tendonitis
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- Author Affiliations
- 1. Department for Orthopaedics and Orthopaedic Surgery, General Hospital of Vienna, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria
- 2. Department for Anesthesiology, General Intensive Care and Pain Management, General Hospital of Vienna, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria
- 3. IST Austria, 3400, Klosterneuburg, Austria
- 4. Department for Radiology, General Hospital of Vienna, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria