Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
The role of high-resolution ultrasonography in management of calcific tendonitis of the rotator cuff
Autore:
Chiou, HJ; Chou, YH; Wu, JJ; Huang, TF; Ma, HL; Hsu, CC; Chang, CY;
Indirizzi:
Taipei Vet Gen Hosp, Dept Radiol, Taipei 11217, Taiwan Taipei Vet Gen Hosp Taipei Taiwan 11217 ept Radiol, Taipei 11217, Taiwan
Titolo Testata:
ULTRASOUND IN MEDICINE AND BIOLOGY
fascicolo: 6, volume: 27, anno: 2001,
pagine: 735 - 743
SICI:
0301-5629(200106)27:6<735:TROHUI>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
SHOULDER; TENDINITIS; ASPIRATION;
Keywords:
shoulder; calcification; shoulder; US; US Doppler studies; US guidance;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Chou, YH Taipei Vet Gen Hosp, Dept Radiol, 201,Sec 2 Shih Pai Rd, Taipei 11217, Taiwan Taipei Vet Gen Hosp 201,Sec 2 Shih Pai Rd Taipei Taiwan 11217an
Citazione:
H.J. Chiou et al., "The role of high-resolution ultrasonography in management of calcific tendonitis of the rotator cuff", ULTRASOUN M, 27(6), 2001, pp. 735-743

Abstract

This article predicts the possibility of resorption of the calcific plaques in the shoulder using high-resolution ultrasonography (HRUS) and color Doppler ultrasound (CDUS), and evaluates the therapeutic effect of US-guided fine-needle multiple punctures of the calcific plaque, A total of 100 patients with calcific tendenosis were divided into 3 groups: In group 1, patients having chronic shoulder pain received conservative treatment; in group 2, patients having acute exacerbation of shoulder pain also received conservative treatment; and group 3 patients received US-guided fine-needle multiple punctures or aspiration, In CDUS, all images were classified as grade 0 (no color how signals), grade 1 (weak spotty color flow signal), grade 2 (few rod-like color flow signals), grade 3 (many rod-like or linear color flow signals). In the follow-up study, marked improvement of patients' clinical condition with more than 50% size reduction of calcific plaque was defined as an effective treatment. There was no significant difference between group I and group 3 (p = 0.558) in CDUS, but there was a significant difference between group 1 and group 2 (p = 0.000), and group 2 and group 3 (p = 0.000) on the basis of classification of grade < 1 and grade greater than or equal to 1, There was also significant difference in the follow-up result of effective management between group 1 and group 3 (p = 0.000), and group 1and group 2 (p = 0.000). In conclusion, HRUS with CDUS proved to be a goodmodality in evaluating the possibility of resorption of shoulder calcification and, if CDUS < grade 1 in calcific tendonitis, we highly recommend conservative treatment with regular follow-up, On the other hand, if CDUS < grade 1, fine-needle repeated puncture could be considered as an effective alternative treatment. (C) 2001 World Federation for Ultrasound in Medicine &Biology.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 13:07:07