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Ultrasound guidance allows a proper and safe treatment for shoulder calcific tendinopathy.

Ultrasound percutaneous irrigation (US-PICT) of calcific tendinitis is always indicated in the resorptive phase, in the presence of soft or semifluid calcifications (type II or III). In case of hard calcification (type I) or mildly symptomatic patients, elective treatment should be preferred. With very small calcifications (<5 mm) or migration into the bursal space the procedure is not indicated. Mild or moderate degeneration of the tendon or inflammatory conditions do not represent a contraindication to treatment because the “needling” of the tendon improves the healing process and usually an injection of local anesthetics and slow-release steroids is performed to reduce inflammation-related symptoms.

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De Filippo, M., Martino, F., Pagnini, F. (2022). Shoulder Calcific Tendinitis Treatment. In: Martino, F., Silvestri, E., Orlandi, D. (eds) Musculoskeletal Ultrasound in Orthopedic and Rheumatic disease in Adults. Springer, Cham.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-91201-7

  • Online ISBN: 978-3-030-91202-4

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