OBJECTIVE: @entity717 ( @entity717 ) is a common cause of shoulder @entity158 in adults and typically presents as activity-related shoulder @entity158 . Between non-surgical and surgical treatment options, today a few minimal invasive techniques are available to remove the calcific deposit, and they represent a cornerstone in the management of this @entity158 . The aim of the work was a retrospective evaluation of double-needle ultrasound-guided percutaneous fragmentation and lavage (DNL), focused on understanding the factors which are of major importance in determining a quick and good response at 1 month. METHODS: A series of 147 @entity1 affected by @entity717 and suitable for DNL were evaluated. A systematic review of anamnestic, clinical and imaging data was performed in 144 shoulders treated in a single-centre setting. Clinical reports and imaging examinations were revisited. The inclusion criteria were submission to DNL, therefore fitness for the percutaneous procedure, and following 1-month follow-up. There was no exclusion owing to risk of bias. The treatment was defined as successful for constant shoulder modified score (CSS) improvement of >50% at 1 month. RESULTS: In 70% of shoulders, the treatment resulted in a quick and significant @entity304 (successful). On the whole, CSS increase at 1 month was estimated at 91.5        69.1%. CSS variations were significantly related to age of @entity1 (better results between 30 and 40 years old), calcification size (more relevant improvement for middle-sized calcifications, 12-17   mm), sonographic and radiographic features of @entity730 (softer calcifications) and thickening of subacromial/subdeltoid bursa walls. In the final model of stepwise regression for CSS variation, ultrasound score pre-treatment and post-treatment, the distance between bursa and calcification before treatment and the size of post-treatment calcification area were shown to be independently correlated to success. Numeric rating scale score for @entity158 showed similar results. @entity158 at admission was also related to age, calcification size, ultrasound and G  rtner score, power Doppler positivity, bursal wall thickening and biceps @entity2762 . CONCLUSION: The success of the procedure with quick improvement in function and symptoms is warranted in soft and middle-sized calcifications, in young adults. Advances in knowledge: Ultrasound-guided percutaneous procedures for @entity717 must be safe, effective and with prompt @entity158 relief and function restoration. This study shows which clinical picture is more favourable to this purpose and actual prognostic factors for DNL (soft and middle-sized calcifications, in young adults, are more favourable).

Ultrasound imaging-guided percutaneous treatment of rotator cuff XXXX : success in short-term outcome.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity304 :: ('MESH:D010302', 'Disease') :: ['reduction of symptoms'] @entity730 :: ('MESH:D002114', 'Disease') :: ['calcific deposits'] @entity158 :: ('MESH:D010146', 'Disease') :: ['painful clinical condition', 'Pain', 'pain'] @entity717 :: ('MESH:D009069', 'Disease') :: ['RCCT', 'Rotator cuff calcific tendinitis'] @entity2762 :: ('MESH:D013717', 'Disease') :: ['tenosynovitis']
@entity730 :: (MESH:D002114,Disease) :: ['calcific tendinitis']
