Complication of barbotage, acute calcific bursitis treated successfully

Authors

  • Cem Gokhan Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK https://orcid.org/0000-0002-4949-9899
  • Sagar Maheshwari Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK, RM7 0AG
  • Harish Nagraj Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK, RM7 0AG
  • Sofia Vrizidou Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK, RM7 0AG
  • Thulasi Tharmalingam Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK, RM7 0AG

DOI:

https://doi.org/10.3941/jrcr.v17i8.4603

Keywords:

ultrasonography-guided percutaneous treatment, barbotage, calcific bursitis, calcific tendinitis, calcific tendinopathy, rotator cuff

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.

Author Biographies

Cem Gokhan, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK

Doctor in Accidents & Emergency Department

Sagar Maheshwari, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK, RM7 0AG

Doctor in Radiology Department

Harish Nagraj, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK, RM7 0AG

Doctor in Radiology Department

Sofia Vrizidou, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK, RM7 0AG

Doctor in Radiology Department

Thulasi Tharmalingam, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK, RM7 0AG

Doctor in Radiology Department
Complication of barbotage, acute calcific bursitis treated successfully

Published

2023-08-15

Issue

Section

Musculoskeletal Radiology