[Imaging-guided needle puncture, infiltration and lavage of rotator cuff calcifications. Retrospective evaluation of 50 cases of treated periarthritis].
OBJECTIVE
To evaluate mid term efficiency of imaging-guided needle puncture trituration and lavage (RPTL) in rotator cuff calcifications after failure of medical treatment. Materials and Methods. Fifty shoulders with rotator cuff calcifications (supra and infra-spinatus: 97%) from 42 patients, mean of 50.2 year old (M/F=10/32), were treated by RPTL. To establish a satisfaction score and potential undesirable effects, the follow-up was obtained by a telephone questionnaire after a median interval of 29.2 months.


RESULTS
Eighty-eight percent of patients had excellent or very good results (cured: 62%, very improved: 26%). Four percent felt partially better and 8% failed but did not undergo surgery. No complication was noted. 41% suffered acute pain in the 24 hours following the procedure even though they were on nonsteroidal anti-inflammatory drug therapy (NSAID).


CONCLUSIONS
These good results after more than two years support the promotion of this economical ambulatory treatment.
Chevrière
A
A
Service de Radiologie, Hôpital Raymond Poincaré, 104, boulevard Raymond Poincaré, 92380 Garches.
Carlier
R
R
Feydy
A
A
Mompoint
D
D
Bayou
E
E
Vallée
C
C
D000328:Adult; D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000628:therapy*; D005069:Evaluation Studies as Topic; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D007269:Injections, Intra-Arterial; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010489:Periarthritis / Q000000981:diagnostic imaging / Q000628:therapy*; D011677:Punctures / Q000295:instrumentation; D015641:Radiography, Interventional; D012189:Retrospective Studies; D017006:Rotator Cuff / Q000000981:diagnostic imaging*; D007507:Therapeutic Irrigation; D017211:Treatment Failure; D016896:Treatment Outcome
D000894:Anti-Inflammatory Agents, Non-Steroidal