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KMID : 1195520120050020094
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Journal of Korean Orthopaedic Ultrasound Society
2012 Volume.5 No. 2 p.94 ~ p.98
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Ultrasound-guided Exact Focusing of Extracorporeal Shock Wave Therapy for the Calcific Tendinitis of Gluteus Medius - A Case Report -
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Moon Sang-Ho
Lee Song
Kim Kwang-Hai
Jeong Jong-Pil
Hong Seong-Won
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Abstract
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Calcific tendinitis is characterized by inflammation around calcium hydroxyapatite crystal deposits. Minimally invasive extracorporeal shock wave therapy (ESWT) has been postulated to be an effective treatment option for treating calcific tendinitis. In clinical practice, shock waves usually are aimed at the painful area after palpation and not focused. It has been known that exact fluoroscopic focusing of ESWT at the calcific deposit for treatment of calcifying tendinopathy is highly effective. Ultrasound is a simple, inexpensive and radiation-free diagnostic tool that has been used to demonstrate tendinopathy including calcific tendinitis. However, focusing of shock wave under ultrasound is less well established. We present a patient in whom large calcific tendinitis of gluteus medius was completely resolved by exact focusing of ESWT by ultrasound with literature review.
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KEYWORD
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Gluteus medius, Calcific tendinitis, Ultrasound, Extracorporeal shock wave therapy
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