Kang Bo-Sung, Lee Seung Hak, Cho Yung, Chung Sun Gun
Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea(∗)(†)(‡); Department of Rehabilitation Medicine, Sheikh Khalifa Specialty Hospital, Ras Al Khaimah, United Arab Emirates(∗).
Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea(∗)(†)(‡).
PM R. 2016 Aug;8(8):808-12. doi: 10.1016/j.pmrj.2016.02.005. Epub 2016 Feb 20.
Ultrasound-guided percutaneous barbotage is an effective treatment for rotator cuff calcific tendinopathy, providing rapid and substantial pain relief. We present the case of a 49-year-old woman with aggravated pain early after ultrasound-guided barbotage of a large calcific deposit in the supraspinatus tendon. Subsequent examination revealed a thick calcification spreading along the subacromial-subdeltoid bursa space, suggesting acute calcific bursitis complicated by barbotage. Additional barbotage alleviated her pain completely. Therefore, a high index of suspicion for acute calcific bursitis is required in patients with unresolved or aggravated pain after barbotage. Repeated barbotage could be effective for this condition.
超声引导下经皮穿刺冲洗术是治疗肩袖钙化性肌腱炎的一种有效方法，能迅速且显著地缓解疼痛。我们报告一例49岁女性病例，其在超声引导下对冈上肌腱内一个大的钙化沉积物进行穿刺冲洗术后早期疼痛加重。随后的检查发现有一个沿肩峰下 - 三角肌下滑囊间隙蔓延的厚钙化灶，提示穿刺冲洗术后并发急性钙化性滑囊炎。再次进行穿刺冲洗术使她的疼痛完全缓解。因此，对于穿刺冲洗术后疼痛未缓解或加重的患者，需要高度怀疑急性钙化性滑囊炎。重复进行穿刺冲洗术对此病症可能有效。
