Complication of barbotage, acute calcific bursitis treated successfully

J Radiol Case Rep. 2023 Aug 31;17(8):1-7. doi: 10.3941/jrcr.v17i8.4603. eCollection 2023 Aug.

Abstract

One of the most common causes of chronic shoulder pain that significantly impairs patients' quality of life is rotator cuff calcific tendinitis. The supportive approach of analgesics, anti-inflammatory medications, and physiotherapy is preferred to treat mild symptoms. However, severe intractable symptoms necessitate alternative treatment, and ultrasonography-guided percutaneous barbotage is regarded as an effective treatment technique due to its minimal invasiveness, low cost, and rapid significant pain relief. Post-barbotage complications are reported as acute calcific bursitis along with infection, bleeding, and tendon rupture. In our case, a 41-year-old female presented with a substantial amount of pain shortly after barbotage, which was diagnosed as acute calcific bursitis, a complication of the procedure. Subacromial-subdeltoid steroid injection was used successfully to treat this condition.

Keywords: barbotage; calcific bursitis; calcific tendinitis; calcific tendinopathy; rotator cuff; ultrasonography-guided percutaneous treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bursitis* / diagnostic imaging
  • Bursitis* / drug therapy
  • Female
  • Humans
  • Pain
  • Quality of Life
  • Rotator Cuff / diagnostic imaging
  • Tendinopathy* / diagnostic imaging
  • Tendinopathy* / drug therapy
  • Ultrasonography, Interventional / adverse effects
  • Ultrasonography, Interventional / methods