Chianca Vito, Pietto Francesco Di, Albano Domenico, Corvino Antonio, Del Grande Filippo
Clinica di Radiologia EOC IIMSI, Lugano, Switzerland.
Department of Radiology, Pineta Grande Hospital, Castel Volturno, CE, Italy.
Pol J Radiol. 2022 Feb 13;87:e87-e92. doi: 10.5114/pjr.2022.113491. eCollection 2022.
Rotator cuff calcific tendinopathy is a common condition caused by the presence of calcification into the rotator cuff or in the subacromial-subdeltoid bursa. The pathogenetic mechanism of this pathology is still debated. Calcific tendinitis frequently affects the rotator cuff and may cause shoulder pain and reduction of range of motion. It can be diagnosed with conventional radiography, ultrasound, or magnetic resonance imaging. The first therapeutic option includes conservative management based on rest, physical therapy, and oral non-steroid anti-inflammatory administration. Extracorporeal shock wave therapy is a noninvasive technique that can be useful for the fragmentation of calcific deposits. Imaging-guided percutaneous irrigation is currently considered the gold standard technique for the treatment of calcific tendinitis due to its minimal invasiveness and its success rate of about 80%.
肩袖钙化性肌腱病是一种常见病症，由肩袖或肩峰下-三角肌下滑囊内出现钙化所致。这种病理状况的发病机制仍存在争议。钙化性肌腱炎常累及肩袖，可能导致肩部疼痛和活动范围减小。它可通过传统X线摄影、超声或磁共振成像进行诊断。首要治疗选择包括基于休息、物理治疗和口服非甾体抗炎药的保守治疗。体外冲击波疗法是一种可用于使钙化沉积物破碎的非侵入性技术。影像引导下经皮冲洗目前被认为是治疗钙化性肌腱炎的金标准技术，因其微创性及其约80%的成功率。
