Double-needle ultrasound-guided percutaneous treatment of rotator cuff calcific tendinitis: tips & tricks

Skeletal Radiol. 2013 Jan;42(1):19-24. doi: 10.1007/s00256-012-1462-x. Epub 2012 Jun 19.


Rotator cuff calcific tendinitis is a very common disease and may result in a very painful shoulder. Aetiology of this disease is still poorly understood. When symptoms are mild, this disease may be treated conservatively. Several treatment options have been proposed. Among them, ultrasound-guided procedures have been recently described. All procedures use one or two needles to inject a fluid, to dissolve calcium and to aspirate it. In the present article, we review some tips and tricks that may be useful to improve performance of an ultrasound-guided double-needle procedure.

Publication types

  • Review

MeSH terms

  • Anesthesia, Local / methods
  • Calcinosis / diagnostic imaging*
  • Calcinosis / therapy*
  • Disinfection / methods
  • Humans
  • Injections, Intralesional
  • Needles
  • Rotator Cuff / diagnostic imaging*
  • Shoulder Pain / diagnostic imaging*
  • Shoulder Pain / therapy*
  • Sodium Chloride / administration & dosage
  • Tendinopathy / diagnostic imaging*
  • Tendinopathy / therapy*
  • Therapeutic Irrigation / methods
  • Ultrasonography, Interventional / methods*


  • Sodium Chloride