Calcific tendinopathy typically affects the shoulder rotator cuff tendons. Its management includes shock wave therapy and US-guided percutaneous irrigation, with surgery being less and less used. Extra-shoulder calcific tendinopathy is relatively infrequent and typically affects the hip. While the diagnostic techniques and the treatment options for shoulder calcific tendinopathy have been extensively described, there are only anecdotic reports on the other sites. In this paper, we have reported an unusual case of non-insertional Achilles calcific tendinopathy which occurred many years after Achilles surgical repair. This condition, which presented similar appearance to that of the rotator cuff calcific tendinopathy, is totally different from the well-known and more common insertional calcific Achilles tendinopathy in terms of pathophysiological, imaging, and clinical findings. Further, we have shown that US-guided percutaneous irrigation might be a safe, technically feasible, mini-invasive, and effective treatment also for Achilles calcific tendinopathy.

Post-surgical Achilles calcific tendinopathy treated with ultrasound-guided percutaneous irrigation / D. Albano, I. Vicentin, C. Messina, L.M. Sconfienza. - In: SKELETAL RADIOLOGY. - ISSN 0364-2348. - (2020). [Epub ahead of print] [10.1007/s00256-020-03453-5]

Post-surgical Achilles calcific tendinopathy treated with ultrasound-guided percutaneous irrigation

I. Vicentin
Secondo
;
C. Messina
Penultimo
;
L.M. Sconfienza
Ultimo
2020

Abstract

Calcific tendinopathy typically affects the shoulder rotator cuff tendons. Its management includes shock wave therapy and US-guided percutaneous irrigation, with surgery being less and less used. Extra-shoulder calcific tendinopathy is relatively infrequent and typically affects the hip. While the diagnostic techniques and the treatment options for shoulder calcific tendinopathy have been extensively described, there are only anecdotic reports on the other sites. In this paper, we have reported an unusual case of non-insertional Achilles calcific tendinopathy which occurred many years after Achilles surgical repair. This condition, which presented similar appearance to that of the rotator cuff calcific tendinopathy, is totally different from the well-known and more common insertional calcific Achilles tendinopathy in terms of pathophysiological, imaging, and clinical findings. Further, we have shown that US-guided percutaneous irrigation might be a safe, technically feasible, mini-invasive, and effective treatment also for Achilles calcific tendinopathy.
Achilles tendon; Calcific tendinopathy; Conventional radiography; Ultrasound; Ultrasound-guided percutaneous irrigation
Settore MED/36 - Diagnostica per Immagini e Radioterapia
8-mag-2020
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/734040
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