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Ultrasound-guided percutaneous treatment of a calcific acromioclavicular joint: A case report

RATIONALE: Calcific tendinopathy is one of the most frequent causes of nontraumatic shoulder pain. However, intra-articular calcifications appear to be an infrequent condition. We herein report a rare case study of an intra-articular calcification of the acromioclavicular joint. PATIENT CONCERNS: A...

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Autores principales: Iovane, Angelo, Di Gesù, Marco, Mantia, Francesco, Thomas, Ewan, Messina, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946315/
https://www.ncbi.nlm.nih.gov/pubmed/31895827
http://dx.doi.org/10.1097/MD.0000000000018645
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author Iovane, Angelo
Di Gesù, Marco
Mantia, Francesco
Thomas, Ewan
Messina, Giuseppe
author_facet Iovane, Angelo
Di Gesù, Marco
Mantia, Francesco
Thomas, Ewan
Messina, Giuseppe
author_sort Iovane, Angelo
collection PubMed
description RATIONALE: Calcific tendinopathy is one of the most frequent causes of nontraumatic shoulder pain. However, intra-articular calcifications appear to be an infrequent condition. We herein report a rare case study of an intra-articular calcification of the acromioclavicular joint. PATIENT CONCERNS: A 46-year-old man presented with an acute pain in the anterior superior region of the left shoulder which also radiated to the left cervical region. The man during the physical evaluation also presented severe functional limitation of the shoulder movements in all planes of motion. DIAGNOSES: The diagnosis was carried out through a radiographic and an echotomographic examination, highlighting the intra-articular calcific formation associated to a reactive inflammatory reaction. INTERVENTIONS: An ultrasound-guided percutaneous treatment following the guidelines for calcific tendinopathy of the shoulder was carried out. OUTCOMES: The posttreatment was satisfactory with the disappearance of the pain and the recovery of the shoulder movements in all planes of motion. LESSONS: We can affirm that the ultrasound-guided percutaneous treatment in patients with calcification of the acromion-clavicular joint represents a valid and nonpainful therapeutic treatment.
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spelling pubmed-69463152020-01-31 Ultrasound-guided percutaneous treatment of a calcific acromioclavicular joint: A case report Iovane, Angelo Di Gesù, Marco Mantia, Francesco Thomas, Ewan Messina, Giuseppe Medicine (Baltimore) 6300 RATIONALE: Calcific tendinopathy is one of the most frequent causes of nontraumatic shoulder pain. However, intra-articular calcifications appear to be an infrequent condition. We herein report a rare case study of an intra-articular calcification of the acromioclavicular joint. PATIENT CONCERNS: A 46-year-old man presented with an acute pain in the anterior superior region of the left shoulder which also radiated to the left cervical region. The man during the physical evaluation also presented severe functional limitation of the shoulder movements in all planes of motion. DIAGNOSES: The diagnosis was carried out through a radiographic and an echotomographic examination, highlighting the intra-articular calcific formation associated to a reactive inflammatory reaction. INTERVENTIONS: An ultrasound-guided percutaneous treatment following the guidelines for calcific tendinopathy of the shoulder was carried out. OUTCOMES: The posttreatment was satisfactory with the disappearance of the pain and the recovery of the shoulder movements in all planes of motion. LESSONS: We can affirm that the ultrasound-guided percutaneous treatment in patients with calcification of the acromion-clavicular joint represents a valid and nonpainful therapeutic treatment. Wolters Kluwer Health 2020-01-03 /pmc/articles/PMC6946315/ /pubmed/31895827 http://dx.doi.org/10.1097/MD.0000000000018645 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6300
Iovane, Angelo
Di Gesù, Marco
Mantia, Francesco
Thomas, Ewan
Messina, Giuseppe
Ultrasound-guided percutaneous treatment of a calcific acromioclavicular joint: A case report
title Ultrasound-guided percutaneous treatment of a calcific acromioclavicular joint: A case report
title_full Ultrasound-guided percutaneous treatment of a calcific acromioclavicular joint: A case report
title_fullStr Ultrasound-guided percutaneous treatment of a calcific acromioclavicular joint: A case report
title_full_unstemmed Ultrasound-guided percutaneous treatment of a calcific acromioclavicular joint: A case report
title_short Ultrasound-guided percutaneous treatment of a calcific acromioclavicular joint: A case report
title_sort ultrasound-guided percutaneous treatment of a calcific acromioclavicular joint: a case report
topic 6300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946315/
https://www.ncbi.nlm.nih.gov/pubmed/31895827
http://dx.doi.org/10.1097/MD.0000000000018645
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