Musculoskeletal ultrasound: how to treat calcific tendinitis of the rotator cuff by ultrasound-guided single-needle lavage technique.
OBJECTIVE
The purpose of this video article is to illustrate the ultrasound appearance of calcium deposition in the rotator cuff and provide a detailed step-by-step protocol for performing the ultrasound-guided single-needle lavage technique for the treatment of calcific tendinitis with emphasis on patient positioning, necessary supplies, real-time lavage technique, and steroid injection into the subacromial subdeltoid bursa.


CONCLUSIONS
Musculoskeletal ultrasound is well established as a safe, cost-effective imaging tool in diagnosing and treating common musculoskeletal disorders. Calcific tendinitis of the rotator cuff is a common disabling cause of shoulder pain. Although most cases are self-limiting, a subset of patients is refractory to conservative therapy and requires treatment intervention. Ultrasound-guided lavage is an effective and safe minimally-invasive treatment not readily offered in the United States as an alternative to surgery, perhaps because of the limited prevalence of musculoskeletal ultrasound programs and limited training. On completion of this video article, the participant should be able to develop an appropriate diagnostic and therapeutic algorithm for the treatment of calcific tendinitis of the rotator cuff using ultrasound.
Lee
Kenneth S
KS
Department of Radiology, Division of Musculoskeletal Radiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave., E3/366 CSC, Madison, WI 53792, USA. klee2@uwhealth.org
Rosas
Humberto G
HG
D002114:Calcinosis / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D015552:Injections, Intralesional; D056888:Patient Positioning; D017006:Rotator Cuff / Q000000981:diagnostic imaging*; D020069:Shoulder Pain / Q000000981:diagnostic imaging* / Q000628:therapy*; D013256:Steroids / Q000008:administration & dosage; D052256:Tendinopathy / Q000000981:diagnostic imaging* / Q000628:therapy*; D007507:Therapeutic Irrigation / Q000379:methods; D018084:Ultrasonography, Interventional
D013256:Steroids