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A simple technique to restore needle patency during percutaneous lavage and aspiration of calcific rotator cuff tendinopathy

JELSING EJ; MAIDA E; CASE SMITH J
PM & R , 2013, vol. 5, n° 3, p. 242-244
Doc n°: 163027
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmrj.2013.01.007
Descripteurs : DD35 - PATHOLOGIE - EPAULE

Calcific rotator cuff tendinopathy caused by symptomatic calcium hydroxyapatite
crystal deposition is a well-established cause of shoulder pain. In refractory or
acutely symptomatic cases, sonographically guided percutaneous lavage and
aspiration can significantly reduce pain in approximately 60%-92% of cases.
Although the complication rate of sonographically guided percutaneous lavage and
aspiration is apparently low, needle clogging attributable to impacted calcific
debris has been described by several authors and in our experience can occur in
daily practice. Traditionally, an inability to relieve the obstruction via needle
repositioning or increased syringe plunger pressure has required needle removal
and replacement. In this article, we outline a simple technique that can be used
to restore patency of the obstructed lavage needle without necessitating needle
removal and replacement.
CI - Copyright (c) 2013 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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