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DOI: 10.1055/s-2002-35325
Percutaneous Management of Painful Shoulder
Publikationsverlauf
Publikationsdatum:
07. November 2002 (online)
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ABSTRACT
Percutaneous treatments are useful in two frequent painful conditions involving the shoulder. In frozen shoulder syndrome (FSS), distension arthrography (DA) and associated intra-articular injection of steroids provide pain relief and some improvement in joint motion in 90% of patients. In pain related to rotator cuff tendon calcification, needle aspiration of calcific deposits is followed by dramatic or significant pain relief in approximately two thirds of patients, and this avoids surgery. The technique of these two procedures is detailed, and their results are discussed.
KEYWORDS
Shoulder abnormalities - calcinosis - tendinitis - bursitis - irrigation - interventional procedures - rotator cuff - shoulder arthrography
REFERENCES
- 1 Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol . 1975; 4 193
- 2 Blockley N J, Wricht J, Kellgren J H. Oral cortisone therapy in periarthritis of the shoulder. Br Med J . 1954; 4 1455
- 3 Sany J, Caillens J P, Rousseau J R. Evolution lointaine de la rétraction capsulaire de l'épaule. Rev Rhum . 1982; 49 815
- 4 Shaffer B, Bone J E, Kerlan R K. Frozen shoulder. A long-term follow-up. J Bone Joint Surg . 1992; 74A 738
- 5 Binder A I, Bulgen D Y, Hazleman B L. Frozen shoulder: an arthrographic and radionuclear scan assessment. Ann Rheum Dis . 1984; 43 365
- 6 Corbeil V, Dussault R G, Leduc B E. Capsulite rétractile de l'épaule: étude comparative de l'arthrographie avec corticothérapie intra-articulaire avec ou sans distension capsulaire. Can Assoc Radiol J . 1992; 43 127
- 7 Ekelund A L, Rydell N. Combination treatment for adhesive capsulitis of the shoulder. Clin Orthop . 1992; 282 105
- 8 Fareed D O, Gallivan Jr R W. Office management of frozen shoulder syndrome. Clin Orthop . 1989; 242 177
- 9 Mulcahy K A, Baxter A D, Oni O. The value of shoulder distension arthrography with intra-articular injection of steroid and local anaesthetic: a follow-up study. Br J Radiol . 1994; 67 263
- 10 Ozaki J, Nakagawa Y, Sakurai G. Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J Bone Joint Surg . 1989; 71-A 1511
- 11 Andren L, Lunberg B J. Treatment of rigid shoulder by joint distension during arthrography. Acta Orthop Scand . 1965; 36 45
- 12 Bulgen D Y, Binder A I, Hazleman B L. Frozen shoulder: prospective clinical study with an evaluation of three treatment regimens. Ann Rheum Dis . 1984; 43 353
- 13 Sharma R K, Bajekal R A, Bhan S. Frozen shoulder syndrome. A comparison of hydraulic distension and manipulation. Int Orthop . 1993; 17 275
- 14 Pollock R G, Duralde X A, Flatow E L. The use of arthroscopy in the treatment of resistant frozen shoulder. Clin Orthop . 1994; 304 30
- 15 Dodenhoff R M, Levy O, Wilson A, Copeland S A. Manipulation under anesthesia for primary frozen shoulder on early recovery and return to activity. J Shoulder Elbow Surg . 2000; 9 23-26
- 16 Andersen N H, Sojbjerg J O, Johannsen H V, Sneppen O. Frozen shoulder: arthroscopy and manipulation under general anesthesia and early passive motion. J Shoulder Elbow Surg . 1998; 7 218-222
- 17 Pearsall A W, Osbahr D C, Speer K P. An arthroscopic technique for treating patients with frozen shoulder. Arthroscopy . 1999; 15 2-11
- 18 Bunker T D, Anthony P P. The pathology of frozen shoulder. J Bone Joint Surg . 1995; 77B 677
- 19 Hsu S YC, Chan K M. Arthroscopic distension in the management of frozen shoulder. Int Orthop . 1991; 15 79
- 20 Jacobs L GH, Barton M AJ, Wallace W A. Intra-articular distension and steroids in the management of capsulitis of the shoulder. Br Med J . 1991; 302 1498
- 21 Rizk T E, Gavant M L, Pinals R S. Treatment of adhesive capsulitis (frozen shoulder with arthrographic capsular distension and rupture). Arch Phys Med Rehabil . 1994; 75 803
- 22 Gam A N, Schydlowsky P, Rossel I, Remvig L, Jensen E M. Treatment of ``frozen shoulder'' with distension and glucocorticoid compared with glucorticoid alone. A randomized controlled study. Scand J Rheumatol . 1998; 27 425-430
- 23 Laroche M, Ighilahriz O, Moulinier L. Adhesive capsulitis of the shoulder: an open study of 40 cases treated by joint distension during arthography followed by an intraarticular corticosteroid injection and immediate physical therapy. Rev Rhum Engl Ed . 1998; 65 313-319
- 24 Noel E, Thomas T, Schaeverbeke T. Frozen shoulder. Joint Bone Spine . 2000; 67 393-400
- 25 Bosworth B M. Calcium deposits in the shoulder and subacromial bursitis. A survey of 122 shoulders. JAMA . 1941; 116 2477
- 26 Comfort T H, Arafiles R P. Barbotage of the shoulder with image-intensified fluoroscopic control of needle placement for calcific tendinitis. Clin Orthop . 1978; 135 171
- 27 Farin P U, Jaroma H, Soimakallio S. Rotator cuff calcifications: Treatment with US-guided technique. Radiology . 1995; 195 841
- 28 Laredo J D, Bellaiche L, Hamze B. Current status of musculoskeletal interventional radiology. Radiol Clin North Am . 1994; 32 377
- 29 Normandin C, Seban E, Laredo J D. Aspiration of tendinous calcific deposits. In: Bard M, Laredo JD, eds. Interventional Radiology in Bone and Joints New York: Springer-Verlag 1988: 285
- 30 Simon W H. Soft tissue disorders of the shoulder: frozen shoulder, calcific tendinitis and bicipital tendinitis. Orthop Clin North Am . 1975; 6 521-539
- 31 Welfing J. Les calcifications de l'épaule. Diagnostic clinique. Rev Rhum . 1964; 1 265
- 32 Jim Y F, Hsu H C, Chang C Y, Wu J J, Chang T. Coexistence of calcific tendinitis and rotator cuff tear: an arthrographic study. Skeletal Radiol . 1993; 22 183
- 33 Matsen M LA, Kilcoyne R F, Davies P K, Sickler M E. Evaluation of the rotator cuff. Radiology . 1985; 157 205
- 34 Farin P U. Consistency of rotator cuff calcifications. Observations on plain radiography, sonography, computed tomography, and at needle treatment. Invest Radiol . 1996; 31 300
- 35 Farin P, Rasanen H, Jaroma H, Harju A. Rotator cuff calcifications: treatment with US-guided percutaneous needle aspiration and lavage. Skeletal Radiol . 1996; 25 551
- 36 Moutounet J, Chevrot A, Godefroy D. Ponction infiltration radioguidée dans le traitement des périarthrites calcifiantes rebelles d'épaules. J Radiol . 1984; 65 569
- 37 Pfister J, Gerber H. Treatment of calcific humero-scapular periarthropathy using needle irrigation of the shoulder: retrospective study. Z Orthop Ihre Grenzgeb . 1994; 132 300
- 38 Pfister J, Gerber H. Chronic calcifying tendinitis of the shoulder-therapy by percutaneous needle aspiration and lavage: a prospective study of 62 shoulders. Clin Rheumatol . 1997; 16 169-274
- 39 McLaughlin H L. The selections of calcium deposits for operation: the technique and results of operation. Surg Clin North Am . 1963; 43 1501
- 40 Ark J W, Flock T J, Flatov E L, Bigliani L U. Arthroscopic treatment of calcific tendinitis of the shoulder. Arthroscopy . 1992; 2 183