ABSTRACT
Isolated rupture of infraspinatus after barbotage for calcific tendinitis has not been reported in the literature. We report on a case of isolated infraspinatus rupture and suprascapular nerve neuropathy after steroid injection and barbotage of calcific tendinitis in rotator cuff. At 6-month follow-up after surgery, satisfactory clinical and radiological outcomes were observed with daily activity level. The author reports this case and review the literature.
Subject(s)
Follow-Up Studies , Rotator Cuff , Rupture , Tears , TendinopathyABSTRACT
We report a case of calcific tendinopathy of the gluteus medius initially misdiagnosed as a lumbar herniated intervertebral disc. It was successfully treated with barbotage under ultrasonographic guidance finally. A 56-year-old woman was referred to interventional pain clinic for right hip pain due to an L5-S1 disc herniation. Serial L5 and S1 spinal nerve root blocks and epidural steroid injections were administered. However, pain relief was sustained only for a very short period. Plain radiography of the right hip revealed a solid calcific nodule at adjacent to the insertion site of the gluteus medius tendon. Physical modalities and extracorporeal shock wave therapy failed to improve the pain. Therefore, we attempted ultrasound-guided barbotage of the calcification. Barbotage was performed twice serially and her pain was considerably improved. At 6-month follow-up, the calcification was completely resolved.