title: US-guided percutaneous treatment and physical therapy in rotator cuff calcific tendinopathy of the shoulder: outcome at 3 and 12 months.
abstract: OBJECTIVE
  To monitor the results of ultrasound (US)-guided percutaneous treatment of calcific tendinopathy of the shoulder at 12 months (T12) after treatment (T0). To verify the possible relations between some pre- and post-procedural variables with the clinical outcome at T12.
  
  
  METHODS
  Forty-seven patients (26 female and 21 male) were enrolled in the study. Patients' approval and written informed consent were obtained. Symptoms were assessed by Constant Shoulder Score (CSS) at T0 and T12. Thirty of these also underwent a CSS control at 3 months (T3). The treatment efficacy was statistically tested for relation with location and type of calcification, characteristics of the tendon and subdeltoid bursa, impingement, and rehabilitation treatments.
  
  
  RESULTS
  There was a significant increase in the average CSS value between T0 and T12 (40.7 vs. 75.3). The variables analysed did not show a statistically significant effect on the outcome at T12. A link was noticed only between patients' increasing age and score improvement, particularly among female subjects.
  
  
  CONCLUSIONS
  US-guided treatment of calcific tendonitis is a viable therapeutic option. No pre- or intra-procedural parameters emerged which might help in predicting the outcome, apart from patients' needs in everyday life.
  
  
  CONCLUSIONS
  • US-guided tcreatment of shoulder calcific tendinopathy is an excellent therapeutic option • Long-term results seem greatly affected by patients' features and needs in everyday life • No proven pre- or intra-procedural parameters emerged that might predict the outcome.
authors.affiliation: U.O di Radiologia I, Azienda Ospedaliera Universitaria di Padova, via Giustiniani 2, 35100, Padova, Italy. gpasquotti@libero.it.
authors.forename: Giulio
authors.initials: G
authors.lastname: Pasquotti
authors.affiliation: Istituto di Radiologia, Università degli Studi di Padova, Padova, Italy.
authors.forename: Alex
authors.initials: A
authors.lastname: Faccinetto
authors.affiliation: U.O di Radiologia I, Azienda Ospedaliera Universitaria di Padova, via Giustiniani 2, 35100, Padova, Italy.
authors.forename: Umberto
authors.initials: U
authors.lastname: Marchioro
authors.affiliation: Istituto di Radiologia, Università degli Studi di Padova, Padova, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Todisco
authors.affiliation: Department Molecolar Medicine Institute of Hygiene, Laboratory of Public Health, University of Padua, Padova, Italy.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Baldo
authors.affiliation: Department Molecolar Medicine Institute of Hygiene, Laboratory of Public Health, University of Padua, Padova, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Cocchio
authors.affiliation: U.O di Radiologia I, Azienda Ospedaliera Universitaria di Padova, via Giustiniani 2, 35100, Padova, Italy.
authors.forename: Giorgio
authors.initials: G
authors.lastname: De Conti
mesh_terms: D000328:Adult; D000368:Aged; D002061:Bursa, Synovial / Q000000981:diagnostic imaging*; D002114:Calcinosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D017006:Rotator Cuff / Q000000981:diagnostic imaging*; D052256:Tendinopathy / Q000209:etiology / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*
keywords: Calcific tendinitis of the shoulder; Rehabilitation; Shoulder impingement; Subacromial bursal thickening; US-guided percutaneous treatment