Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Emilia-Romagna, Italy.
Shoulder and Elbow Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna, Emilia- Romagna, Italy.
Skeletal Radiol. 2022 Oct;51(10):2039-2044. doi: 10.1007/s00256-022-04035-3. Epub 2022 Apr 2.
While ultrasound-guided percutaneous irrigation for painful calcific tendinopathy (US-PICT) is the treatment of choice for the rotator cuff, there is a lack of knowledge regarding the treatment of this condition with atypical location. The purpose of our study is to assess if US-PICT can be applied safely and successfully in atypical sites, outside of the rotator cuff.
We retrospectively reviewed the US-PICT performed outside the rotator cuff, in the last 5 years in a single institution. A total of 16 patients have been included in this study. We collected the values of the numerical rating scale (NRS) for pain pre- and post-procedure (7 days and 3-month follow-up). Moreover, we assessed the imaging studies available pre- and post-procedure (ultrasound and plain radiography) to assess complications.
In all the 16 patients (10F, 6 M; mean age 50.2; range 24-65-year-old), no complications have been observed during and after the procedures. The mean pain NRS before treatment was 8.7 (range 10-6) and dropped to 1.1 (6-0) after 1 week as well after 3 months 1.1 (6-0). The NRS pain reduction from baseline resulted to be statistically significant after 7 days and 3 months (p < 0.001).
Our results suggest the safety and efficacy of this procedure, underlining the great potential of US-PICT applied even in different atypical locations.
虽然超声引导下经皮穿刺冲洗治疗（US-PICT）是肩袖疼痛性钙化性肌腱炎的首选治疗方法，但对于非典型部位（肩袖外）的这种疾病，其治疗方法仍知之甚少。我们的研究目的是评估 US-PICT 是否可以安全且成功地应用于非典型部位（肩袖外）。
我们回顾性分析了过去 5 年在一家医院进行的肩袖外 US-PICT 治疗的患者。共有 16 例患者纳入本研究。我们收集了治疗前后（治疗后 7 天和 3 个月随访）的疼痛数字评分量表（NRS）值。此外，我们评估了治疗前后的影像学研究（超声和普通 X 线），以评估并发症。
在所有 16 例患者（10 例女性，6 例男性；平均年龄 50.2 岁；年龄范围 24-65 岁）中，在治疗过程中和治疗后均未观察到并发症。治疗前的平均疼痛 NRS 为 8.7（范围 10-6），治疗后 1 周时降至 1.1（范围 6-0），3 个月时降至 1.1（范围 6-0）。与基线相比，治疗后 7 天和 3 个月时的 NRS 疼痛减轻具有统计学意义（p<0.001）。
我们的结果表明该方法安全有效，强调了 US-PICT 在不同非典型部位应用的巨大潜力。
