Treatment of Calcific Achilles Tendinitis Using the Ultrasound-guided Single-needle Lavage Technique

doi:10.37015/AUDT.2018.180806

Abstract

Abstract:

Objective: To report our initial experience using the ultrasound (US)-guided single-needle lavage technique for treating calcific Achilles tendinitis.
Methods: Eighteen patients with chronic ankle pain refractory to medical treatment were treated percutaneously using a fine needle lavage technique under US guidance. Patients were evaluated using the visual analogue scale (VAS) pain score both before and 3 months after the procedure. Treatment-related complications were also recorded.
Results: All 18 cases of US-guided single-needle lavage were performed successfully. The range of recovery time was 30-45 days, and there was a significant reduction in the VAS pain score.
Conclusion: The US-guided single-needle lavage technique seems to be an effective and minimally invasive way to treat calcific Achilles tendinitis.

Key words: Achilles; Calcific tendinitis; Ultrasound; Lavage; Treatment

Ligang Cui, MD, Chang Liu, MD, Zhiqiang Li, MD, Desheng Sun, MD. Treatment of Calcific Achilles Tendinitis Using the Ultrasound-guided Single-needle Lavage Technique. Advanced Ultrasound in Diagnosis and Therapy, 2018, 2(2): 101-105.

References

[1]	Castillo-Gonzalez FD, Ramos-Alvarez JJ, Rodriguez-Fabian G, Gonzalez-Perez J, Calderon-Montero J. Treatment of the calcific tendinopathy of the rotator cuff by ultrasound-guided percutaneous needle lavage. Two years prospective study. Muscles Ligaments Tendons J 2014; 4:220-25.
[2]	Aina R, Cardinal E, Bureau NJ, Aubin B, Brassard P. Calcific shoulder tendinitis: treatment with modified US-guided fine-needle technique. Radiology 2001; 221:455-61.
[3]	Saboeiro GR. Sonography in the treatment of calcific tendinitis of the rotator cuff. J Ultrasound Med 2012; 31:1513-8.
[4]	Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken) 2011; 63:S240-52.
[5]	Uhthoff HK, Sarkar K, Maynard JA. Calcifying tendinitis: a new concept of its pathogenesis. Clin Orthop Relat Res 1976; 164-8.
[6]	Uhthoff HK. Calcifying tendinitis, an active cell-mediated calcification. Virchows Arch A Pathol Anat Histol 1975; 366:51-8.
[7]	Ark JW, Flock TJ, Flatow EL, Bigliani LU. Arthroscopic treatment of calcific tendinitis of the shoulder. Arthroscopy 1992; 8:183-8.
[8]	Uhthoff HK, Loehr JW. Calcific Tendinopathy of the Rotator Cuff: Pathogenesis, Diagnosis, and Management. J Am Acad Orthop Surg 1997; 5:183-91.
[9]	Bradley M, Bhamra MS, Robson MJ. Ultrasound guided aspiration of symptomatic supraspinatus calcific deposits. Br J Radiol 1995; 68:716-9.
[10]	Shrier I, Matheson GO, Kohl HW, 3rd. Achilles tendonitis: are corticosteroid injections useful or harmful? Clin J Sport Med 1996; 6:245-50.
[11]	Csizy M, Hintermann B.[ Rupture of the Achilles tendon after local steroid injection. Case reports and consequences for treatment]. Swiss Surg 2001; 7:184-9. [Article in German].
[12]	Mahler F, Fritschy D. Partial and complete ruptures of the Achilles tendon and local corticosteroid injections. Br J Sports Med 1992; 26:7-14.
[13]	Cetti R, Christensen SE.[ Rupture of the Achilles tendon after local steroid injection]. Ugeskr Laeger 1982; 144:1392. [Article in Danish].

[1]	Keyan Li, MD, Faqin Lv, MD, Junlai Li, MD. Clinical Application of Robot-assisted Teleultrasound [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(3): 228-234.
[2]	Leila Bayani, MD, Donya Goodarzi, BS, Reza Mardani, MD, Bita Eslami, PhD, Sadaf Alipour, MD. Localization of Nonpalpable Breast Lumps by Ultrasound Local Coordinates and Skin Inking: A Randomized Controlled Trial [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(3): 267-271.
[3]	Chang Liu, MD, Weiwei Shen, MD, Peng Fu, MD, Youchen Xia, MD, Jianxun Ma, MD, Ligang Cui, MD, Shi Tan, MD. Contrast-Enhanced Ultrasound in the Detection and Evaluation of Maxillofacial Arteriovenous Malformation: A Case Report [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(3): 288-292.
[4]	Huiyong Hu, MS, Hairong Wang, MS, Yunfeng Xu, MS. Spontaneous Remission of Pediatric Undescended Testis Torsion during Color Doppler Ultrasound Examination [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(3): 296-298.
[5]	Enze Qu, MD, Xinling Zhang, MD. Advanced Application of Artificial Intelligence for Pelvic Floor Ultrasound in Diagnosis and Treatment [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 114-121.
[6]	Rui Chen, MM, Fangqi Guo, MM, Jia Guo, MD, Jiaqi Zhao, MD. Application and Prospect of AI and ABVS-based in Breast Ultrasound Diagnosis [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 130-135.
[7]	Shujun Xia, MD, Jianqiao Zhou, MD. Ultrasound Image Generation and Modality Conversion Based on Deep Learning [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 136-139.
[8]	Cancan Cui, MD, Zhaojun Li, PhD, Yanping Lin, PhD. Advances in Intelligent Segmentation and 3D/4D Reconstruction of Carotid Ultrasound Imaging [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 140-151.
[9]	Wenjun Zhang, MD, Mi Zhou, PhD, Qingguo Meng, MD, Lin Zhang, MS, Xin Liu, MS, Paul Liu, PhD, Dong Liu, PhD. Rapid Screening of Carotid Plaque in Cloud Handheld Ultrasound System Based on 5G and AI Technology [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 152-157.
[10]	Jiaojiao Ma, MD, Xinying Jia, MD, Guanghan Li, MD, Dandan Guo, MD, Xuehua Xi, MD, Tongtong Zhou, MD, Ji-Bin Liu, MD, Bo Zhang, MD. Development of 5G-based Remote Ultrasound Education: Current Status and Future Trends [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 197-203.
[11]	Siyi Xun, MA, Wei Ke, PhD, Mingfu Jiang, MA, Huachao Chen, BA, Haoming Chen, BA, Chantong Lam, PhD, Ligang Cui, MD, Tao Tan, PhD. Current Status, Prospect and Bottleneck of Ultrasound AI Development: A Systemic Review [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 61-72.
[12]	Wenjia Guo, MM, Shengli Li, MM, Xing Yu, MD, Huaxuan Wen, BM, Ying Yuan, MM, Xia Yang, MM. Artificial Intelligence in Prenatal Ultrasound: Clinical Application and Prospect [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 82-90.
[13]	Changyan Wang, BS, Haobo Chen, MS, Jieyi Liu, BS, Changchun Li, BS, Weiwei Jiao, BS, Qihui Guo, BS, Qi Zhang, PhD. Deep Learning on Ultrasound Imaging for Breast Cancer Diagnosis and Treatment: Current Applications and Future Perspectives [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 91-113.
[14]	Priscilla Machado, MD, Ji-Bin Liu, MD, Flemming Forsberg, PhD. Sentinel Lymph Node Identification Using Contrast Lymphosonography: A Systematic Review [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(1): 1-7.
[15]	Chunyao Liu, BS, Huiwen Li, MS, Yajiang Zhang, MS, Ji Liu, BS, Jingru Yang, MS, Wei Li, MS, Jin Gao, BS, Rong Wu, MD. Application of Ultrasound-guided Stellate Ganglion Block in Treatment of Allergic Rhinitis [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(1): 23-27.