Focused lithotripsy in the treatment of tendinosis calcarea of the shoulder: results at 2 months and one year

The authors report their experience with extracorporeal lithotripsy in 30 patients with calcific tendinosis of the rotator cuff. This technique is based upon the utilization of high-energy shockwaves (6000 shocks in 3 sessions Day 1, D8, D30) under continuous ultrasound localization of the lesion (E...

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Bibliographic Details
Published in:Journal de radiologie 2004-10, Vol.85 (10 Pt 1), p.1721-1725
Main Authors: Sarrat, P, Cohen, M, Carrasset, S, Godde, J, Franceschi, J P, Aswad, R
Format: Article
Language:fre
Subjects:
Adult
Aged
Calcinosis - therapy
Female
Follow-Up Studies
Humans
Lithotripsy - methods
Male
Middle Aged
Muscular Diseases - therapy
Rotator Cuff
Shoulder Joint
Time Factors
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Summary:The authors report their experience with extracorporeal lithotripsy in 30 patients with calcific tendinosis of the rotator cuff. This technique is based upon the utilization of high-energy shockwaves (6000 shocks in 3 sessions Day 1, D8, D30) under continuous ultrasound localization of the lesion (EPOS Ultra1). Calcification were evaluated at plain film, US and CT to characterize their length and features. Complete or partial resorption of calcifying deposits within 2 months and one year was observed in 27.5% and 25% of cases respectively. Clinical improvement results are encouraging at two months (50%), but reduced at one year (28.5%), consistent with the rate of resorption of calcifications. This painful, long, and expensive technique seems to be disappointing in the treatment of the calcific tendinosis.
ISSN:0221-0363