Lavage Of Rotator Cuff Clcifications
Lavage Of Rotator Cuff Clcifications
Calcific tendonitis is caused by calcium deposition in rotator cuff tendons.It’s a chronic condition with periods of exacerbations and remissions and it accounts for 7% of cases of shoulder pain.
The first-line treatment is anti-inflammatory medication or steroid injection, however they provide only temporary relief and may give some side effects. The alternative treatment is shock waves, surgery and precutaneus aspiration of intertendinous calcifications.
Symptoms:
- functional limitation of shoulder,
- shoulder pain,
- symptoms of inflammation.
The precutaneus aspiration of intertendinous calcifications of rotator cuff
Indications:
Symptomatic calcyfic tendonitis. Lack of response to conservative treatment.
What does the procedure entail?
The technique uses a 1% lidocaine solution to wash out calcifications from rotator cuff tendons. Once the needle gets inside the calcification short, strong impulses are applied to the syringe plunger. Releasing the plunger after each impulse the solution returns to the syringe, dragging the calcium with it,
Complications:
- the pain during introduction the needle inside the tendon,
- hip discomfort during the first days after the procedure.
Dr. Marcin Goczewski performs lavage of calcifications only under ultrasound guidance in order to increase the chance of successful therapy and minimize the risk of complications.
