Interventional musculoskeletal US: an update on materials and methods

Robotti, G; Canepa, Maria Grazia; Bortolotto, Chandra; Draghi, Ferdinando

doi:10.1007/s40477-013-0018-9

Cited by 21 publications

(12 citation statements)

References 39 publications

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“…The use of conservative treatments or ESWT in patients with acute pain given by calcific tendinopathy in the resorption phase seems to be suboptimal, and often fails because the symptoms significantly affect the quality of life [11], and many patients may not be able to tolerate the duration of time to resolution [12]. Therefore, invasive interventional techniques, such as steroid injections of the SAD bursa and/ or glenohumeral joint (US guided or not guided) and US-PICT, may be pursued minimally [13].…”

Section: Discussionmentioning

confidence: 99%

Migration of calcium deposit over the biceps brachii muscle, a rare complication of calcific tendinopathy: Ultrasound image and treatment

et al. 2018

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Calcific tendinopathy is characterized by the deposition of calcium, mostly hydroxyapatite crystals, in tendons. Women are more frequently affected than men, with prevalence in the fourth and fifth decades of life. This condition has been reported between 2.5 and 7.5% of healthy shoulders in adults, but other tendons may also be affected. A complication of this condition is the migration of calcium deposits from tendons, usually the supraspinatus, into the subacromial-subdeltoid bursa. We reported a rare complication of calcific tendinopathy, that is, calcium deposits migrated from the long head of the biceps tendon over the proximal tract of the biceps brachii muscle. Keywords Shoulder • Ultrasound • Tendon • Calcific tendinopathy Sommario La tendinopatia calcifica è caratterizzata dalla deposizione di calcio, per lo più cristalli di idrossiapatite, nei tendini. Le donne sono più frequentemente colpite rispetto agli uomini, con una prevalenza nella quarta e quinta decade di vita. Questa condizione è stata riportata tra il 2,5% e il 7,5% delle spalle sane negli adulti, ma può interessare anche altri tendini. Una complicanza di questa condizione è la migrazione dei depositi di calcio dai tendini, di solito dal tendine sovraspinato alla borsa sub-acromion-deltoidea. Abbiamo riportato un caso di tendinopatia calcifica migrata dal tendine capo lungo del bicipite brachiale sopra al tratto prossimale del muscolo bicipite brachiale, rara complicanza della tendinopatia calcifica.

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Section: Discussionmentioning

confidence: 99%

Migration of calcium deposit over the biceps brachii muscle, a rare complication of calcific tendinopathy: Ultrasound image and treatment

et al. 2018

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“…Local infiltration of corticosteroid about the Achilles tendon is therefore rarely performed nowadays. However, local infiltration in case of bursitis is still considered a valid treatment and it is widely performed [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound (US)-guided local infiltration has often proved to be a valid therapy in the treatment of muscoloskeletal pain due to characteristics such as economicity, effectiveness and long-term pain relief [1,2]. Various drugs including corticosteroids are used in interventional musculoskeletal procedures.…”

Section: Introductionmentioning

confidence: 99%

Complete Achilles tendon rupture after local infiltration of corticosteroids in the treatment of deep retrocalcaneal bursitis

Vallone

Vittorio

2014

J Ultrasound

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Complete rupture of the Achilles tendon is relatively rare, but it is an injury of considerable clinical relevance. A common cause of non-traumatic tendon rupture is local corticosteroid infiltration. Corticosteroid injections may start a degenerative process resulting in partial rupture and subsequent complete rupture of the tendon due to a direct toxic effect, because corticosteroids inhibit production of extracellular matrix collagen and also because of poor local vascularization. This paper describes the case of a patient who presented with complete rupture of the Achilles tendon shortly after administration of local corticosteroid injections in the treatment of deep retrocalcaneal bursitis. This confirms that corticosteroid treatment which is not correctly and accurately administered may be a factor contributing to major injury. It demonstrates that the physician must take all necessary precautions when administering corticosteroid infiltration. It is particularly important that corticosteroid injection is performed under ultrasound guidance which permits visualization of the needle tip and therefore exact identification of the injection site. Keywords Achilles tendon Á Ultrasound Á Corticosteroid injectionsRiassunto Le rotture complete del tendine d'Achille sono piuttosto rare, ma hanno una notevole rilevanza clinica. Tra le cause atraumatiche di rottura sono abbastanza frequenti quelle che riconoscono come concausa i trattamenti infiltrativi locali di corticosteroidi. Questi, sia con un'azione tossica diretta, sia con l'inibizione sulla produzione della matrice extracellulare del collagene, sia con una riduzione della vascolarizzazione locale, determinano un processo degenerativo che progredendo determina dapprima una lesione parziale e poi una rottura completa del tendine. Il caso riportato si riferisce ad una paziente che, per il trattamento di una borsite retrocalcaneale profonda, veniva trattata con terapia infiltrativa locale con cortisone e, a breve distanza di tempo, presentava una rottura completa del tendine d'Achille; è esplicativo come un trattamento terapeutico con corticosteroidi, eseguito in maniera non del tutto corretta, possa essere concausa di lesioni importanti. E' indicativo del fatto che sia necessario rispettare tutte le precauzioni quando si procede a terapia infiltrativa locale di corticosteroidi, in particolare come sia importante iniettare sotto guida ecografica perché ciò consente di valutare in tempo reale la posizione della punta dell'ago e quindi di conoscere esattamente la sede di iniezione.

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“…Type B synoviocytes or fibroblasts secrete HA into the articular space exerting a chondroprotective and lubricant effect. 20 Additionally it has analgesic effects secondary to its ability to block nociceptors and bind substance P, a pain mediator. 21 It is a viscose substance injected to replicate the HA occurring naturally in synovial fluid mainly for the treatment of osteoarthritis (OA).…”

Section: Hyaluronic Acidmentioning

confidence: 99%

Image-Guided Intervention of the Postoperative Foot and Ankle After Ligament and Tendon Repair

Khanna

Walker

Amiras

et al. 2016

Semin Musculoskelet Radiol

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This review article describes the potential range of image-guided interventional procedures performed following foot and ankle ligament and/or tendon repair. Diagnosis of the cause of recurrent or persistent pain/symptoms in this postoperative group is challenging and requires a coordinated clinical and radiologic assessment. This directs appropriate treatment including image-guided intervention that may be used both as a diagnostic tool and a therapeutic option. There is a paucity of high-quality studies on the role of image-guided intervention in the foot and ankle after ligament/tendon repair. Many of the procedures used in this group are extrapolated from other areas of the body or the preoperative scenario. We review the role of imaging to identify the cause of postsurgical symptoms and to direct appropriate image-guided intervention. The available injectables and their roles are discussed. Specific surgical procedures are described including lateral ligament repair, Achilles repair, posterior tibialis tendon surgery, and peroneal tendon surgery.

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Interventional musculoskeletal US: an update on materials and methods

Cited by 21 publications

References 39 publications

Migration of calcium deposit over the biceps brachii muscle, a rare complication of calcific tendinopathy: Ultrasound image and treatment

Migration of calcium deposit over the biceps brachii muscle, a rare complication of calcific tendinopathy: Ultrasound image and treatment

Complete Achilles tendon rupture after local infiltration of corticosteroids in the treatment of deep retrocalcaneal bursitis

Image-Guided Intervention of the Postoperative Foot and Ankle After Ligament and Tendon Repair

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