Lee CH, Oh MK, Yoo JI. Ultrasonographic evaluation of the effect of extracorporeal shock wave therapy on calcific tendinopathy of the rectus femoris tendon: A case report. World J Clin Cases 2019; 7(22): 3772-3777 [PMID: 31799303 DOI: 10.12998/wjcc.v7.i22.3772]
Corresponding Author of This Article
Jun-Il Yoo, MD, Assistant Professor, Department of Orthopaedic Surgery, Gyeongsang National University Hospital, 90 Chilamdong, Gyeongsangnam-do, Jinju 52727, South Korea. furim@daum.net
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 26, 2019; 7(22): 3772-3777 Published online Nov 26, 2019. doi: 10.12998/wjcc.v7.i22.3772
Ultrasonographic evaluation of the effect of extracorporeal shock wave therapy on calcific tendinopathy of the rectus femoris tendon: A case report
Chang Han Lee, Min-Kyun Oh, Jun-Il Yoo
Chang Han Lee, Min-Kyun Oh, Department of Rehabilitation Medicine, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju 52727, South Korea
Jun-Il Yoo, Department of Orthopaedic Surgery, School of Medicine, Gyeongsang National University, 90 Chilamdong, Gyeongsangnam-do, Jinju 52727, South Korea
Author contributions: Lee CH and Yoo JI contributed equally to this work; Lee CH and Yoo JI designed research, performed research, contributed new reagents/analytic tools, analyzed data and wrote the paper; Oh MK revised the paper.
Informed consent statement: Consent was obtained from patients for publication of this report.
Conflict-of-interest statement: All authors declare that there are no conflicts of interest involved.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jun-Il Yoo, MD, Assistant Professor, Department of Orthopaedic Surgery, Gyeongsang National University Hospital, 90 Chilamdong, Gyeongsangnam-do, Jinju 52727, South Korea. furim@daum.net
Telephone: +82-55-7508688 Fax: +82-55-7540477
Received: August 11, 2019 Peer-review started: August 11, 2019 First decision: September 9, 2019 Revised: September 19, 2019 Accepted: October 15, 2019 Article in press: October 15, 2019 Published online: November 26, 2019 Processing time: 112 Days and 5.4 Hours
Abstract
BACKGROUND
Calcific tendinopathy denotes calcific deposits in a specific tendon. It is also known as calcifying tendinitis, calcifying periarticulitis, or periarticular apatite deposition disease. Recently, extracorporeal shock wave therapy (ESWT) has been reported to be effective in relieving and treating pain in calcific tendinopathy.
CASE SUMMARY
A 36-year-old female patient suffered from left hip joint pain for six months. The pain was increased during abduction of the hip, waking, and jumping. B-mode ultrasonography was performed by a physiatrist with an L12-5 linear transducer. A single session of ESWT was given in the marking area under ultrasound guidance at 4 Hz, 2500 shots with intensity of stimulation using energy of 0.1 mJ/mm2. The hip pain of the patient slowly decreased within 4 wk after starting the ESWT. After six weeks of ESWT, her hip pain was completely resolved. However, the size of calcification showed almost no reduction in simple radiography at the final follow-up.
CONCLUSION
Ultrasonography is a very good modality not only for diagnosing calcified tendinitis by classical appearance, but also for evaluating the effect of ESWT during the follow-up period.
Core tip: As a feature of ultrasonography, high resolution shows the presence of deposits and defines their locations in the tendon, plus their size and texture. This technique enables staging of the deposits by correlation of shadow cones. In the resting phase, the deposits appear hyperechoic and arc shaped, whereas they appear non-arc shaped (fragmented/punctate and cystic) in the resolving phase. These appearances can also be correlated with the symptomatic and asymptomatic phases of the disease.
