Supraspinatus calcific tendonosis treated with barbotage

Case contributed by Dr Andrew Dixon

Presentation

3 months of shoulder pain. Fall 12 months prior. ? cuff tear.

Patient Data

Age: 70
Gender: Male
Modality: Ultrasound

Large deposit of mildly echogenic material within the supraspinatus tendon without prominent shadowing.   

Before Barbotage

Modality: X-ray

Calcific material corresponding to the deposit seen within the supraspinatus tendon on ultrasound. 

Two 19G needles were placed within the calcific deposit; one transverse to the tendon and the other longitudinal to the tendon. Local anaesthetic was then injected via one needle whilst the other needle was used aspirate. An example of the aspirated fluid containing calcium is shown in the tray. Local anesthetic and cortisone were also injected into the subacromial bursa.  

After Barbotage

Modality: X-ray

Post barbotage x-ray revealed significant reduction in volume of the calcium deposit. 

Case Discussion

An example of supraspinatus calcific tendinosis treated with ultrasound guided barbotage. 

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Case Information

rID: 39547
Case created: 9th Sep 2015
Last edited: 14th Jul 2016
Inclusion in quiz mode: Included

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