Accidents & Emergency Department, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK.
Radiology Department, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK.
J Radiol Case Rep. 2023 Aug 31;17(8):1-7. doi: 10.3941/jrcr.v17i8.4603. eCollection 2023 Aug.
One of the most common causes of chronic shoulder pain that significantly impairs patients' quality of life is rotator cuff calcific tendinitis. The supportive approach of analgesics, anti-inflammatory medications, and physiotherapy is preferred to treat mild symptoms. However, severe intractable symptoms necessitate alternative treatment, and ultrasonography-guided percutaneous barbotage is regarded as an effective treatment technique due to its minimal invasiveness, low cost, and rapid significant pain relief. Post-barbotage complications are reported as acute calcific bursitis along with infection, bleeding, and tendon rupture. In our case, a 41-year-old female presented with a substantial amount of pain shortly after barbotage, which was diagnosed as acute calcific bursitis, a complication of the procedure. Subacromial-subdeltoid steroid injection was used successfully to treat this condition.
肩袖钙化性肌腱炎是导致慢性肩部疼痛的最常见原因之一，严重影响患者的生活质量。对于轻度症状，通常采用支持性治疗方法，如镇痛药、抗炎药和物理疗法。然而，对于严重的顽固性症状，则需要选择替代治疗方法，超声引导下经皮穿刺冲洗术因其微创、低成本和快速显著缓解疼痛而被视为一种有效的治疗技术。该治疗技术的术后并发症包括急性钙化性滑囊炎以及感染、出血和肌腱断裂。在我们的病例中，一名 41 岁女性在接受冲洗术后不久出现大量疼痛，被诊断为急性钙化性滑囊炎，这是该手术的一种并发症。肩峰下-三角肌下类固醇注射成功用于治疗该病症。
