title: [Focused lithotripsy in the treatment of tendinosis calcarea of the shoulder: results at 2 months and one year].
abstract: OBJECTIVE
  The authors report their experience with extracorporeal lithotripsy in 30 patients with calcific tendinosis of the rotator cuff.
  
  
  METHODS
  This technique is based upon the utilization of high-energy shockwaves (6000 shocks in 3 sessions Day 1, D8, D30) under continuous ultrasound localization of the lesion (EPOS Ultra1). Calcification were evaluated at plain film, US and CT to characterize their length and features.
  
  
  RESULTS
  Complete or partial resorption of calcifying deposits within 2 months and one year was observed in 27.5% and 25% of cases respectively. Clinical improvement results are encouraging at two months (50%), but reduced at one year (28.5%), consistent with the rate of resorption of calcifications.
  
  
  CONCLUSIONS
  This painful, long, and expensive technique seems to be disappointing in the treatment of the calcific tendinosis.
authors.affiliation: Service d'Imagerie Médicale, Fondation Hopital Saint Joseph, 26 bd de Louvain, 13008 Marseille. psarrat@hopital-saint-joseph.fr
authors.forename: P
authors.initials: P
authors.lastname: Sarrat
authors.forename: M
authors.initials: M
authors.lastname: Cohen
authors.forename: S
authors.initials: S
authors.lastname: Carrasset
authors.forename: J
authors.initials: J
authors.lastname: Godde
authors.forename: J P
authors.initials: JP
authors.lastname: Franceschi
authors.forename: R
authors.initials: R
authors.lastname: Aswad
mesh_terms: D000328:Adult; D000368:Aged; D002114:Calcinosis / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008096:Lithotripsy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000628:therapy; D017006:Rotator Cuff; D012785:Shoulder Joint; D013997:Time Factors