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DC Field | Value | Language |
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dc.contributor.author | Vassallo, Pierre | - |
dc.date.accessioned | 2016-11-15T14:22:43Z | - |
dc.date.available | 2016-11-15T14:22:43Z | - |
dc.date.issued | 2015 | - |
dc.identifier.citation | Vassallo, P. (2015). US-guided treatment of calcific rotator cuff tendonopathy. The Synapse, 14(2), 25-26 | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar//handle/123456789/13987 | - |
dc.description.abstract | Calcium hydroxyapatite crystal deposits in the rotator cuff are a common source of shoulder pain. Calcified tendinitis can lead to chronic disability and may interfere with daily living activities. Traditionally, the initial conservative therapeutic approach consists of oral nonsteroidal anti-inflammatory drugs, physical rehabilitation to prevent loss of joint mobility and local steroid injections. When conservative treatment fails, open surgical or arthroscopic excision of calcium deposits can be performed. Removal of the calcium deposits from the tendon significantly accelerates healing of the tendonopathy, however, the open surgical and even arthroscopic techniques are prone to prolonged post-operative disability and complications such as reflex sympathetic muscle dystrophy. Image-guided interventions to remove calcium deposits in the rotator cuff have been used as far back as 30 years ago. However, these procedures were mainly done under X-ray fluoroscopic guidance and utilized two large-bore needles, one to inject normal saline and the other to fragment the calcification and aspirate the fluid containing the calcium fragments. Use of these needles generally resulted in significant damage to the tendon. More recently, ultrasound (US) (figure 1) has been utilized to guide the intervention; this allows better visualization of smaller deposits, while avoiding radiation exposure to the patient and the performer. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | Medical Portals Ltd. | en_GB |
dc.rights | info:eu-repo/semantics/openAccess | en_GB |
dc.subject | Tendons | en_GB |
dc.subject | Shoulder joint -- Rotator cuff -- Wounds and injuries | en_GB |
dc.subject | Tendinopathy | en_GB |
dc.subject | Calcification | en_GB |
dc.subject | Ultrasonic imaging | en_GB |
dc.title | US-guided treatment of calcific rotator cuff tendonopathy | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
Appears in Collections: | The Synapse, Volume 14, Issue 2 The Synapse, Volume 14, Issue 2 |
Files in This Item:
File | Description | Size | Format | |
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US-guided treatment of calcific rotator cuff tendonopathy.pdf | 161.03 kB | Adobe PDF | View/Open |
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