Biceps brachii long head calcific tendinitis can be treated quickly and effectively with radial shockwave therapy: a case report
Calcific tendinitis, which mostly involves the supraspinatus and rotator cuff tendons, may very rarely involve the long head of the biceps brachii (LHBB). Arthroscopy is the first choice in cases of calcific tendinitis accompanied by a rotator cuff tear but in cases where the rotator cuff is intact,...
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| Format: | Article |
| Language: | English |
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Turkish Sports Medicine Association
2024-02-01
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| Series: | Spor Hekimligi Dergisi |
| Subjects: | |
| Online Access: |
https://journalofsportsmedicine.org/eng/full-text-pdf/723/eng
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| _version_ | 1797246039418208256 |
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| author | Yavuz Şahbat Görkem Çat İlker Yağcı Osman Mert Topkar |
| author_facet | Yavuz Şahbat Görkem Çat İlker Yağcı Osman Mert Topkar |
| author_sort | Yavuz Şahbat |
| collection | DOAJ |
| description | Calcific tendinitis, which mostly involves the supraspinatus and rotator cuff tendons, may very rarely involve the long head of the biceps brachii (LHBB). Arthroscopy is the first choice in cases of calcific tendinitis accompanied by a rotator cuff tear but in cases where the rotator cuff is intact, there are different treatment methods, such as non-steroidal anti-inflammatory drugs (NSAID), steroid injection, Extracorporeal Shock Wave Therapy (ESWT), and Radial Shock Wave Therapy (RSWT).
A 28-year-old male presented at the outpatient clinic with right shoulder pain which had been ongoing for 6 months. The patient, who was a licensed table tennis player and amateur bodybuilder, had no systemic diseases. After clinical and radiological evaluation, ultrasonography showed calcification at the level of the greater tuberculum of the right humerus. The patient was diagnosed with calcific tendinitis of the bicipital tendon. Magnetic resonance imaging (MRI) was then performed to investigate any rotator cuff pathology or glenohumeral joint pathology. No additional pathology was observed. The patient was managed with the standard RSWT protocol of four sessions. 0.25 mJ/mm2 3 bar 2000 beats administered with an electromagnetic lithotriptor. Before RSWT, the VAS score was 9 over 10 and Constant score was 37, and after the first session of RSWT, the VAS score of the patient had decreased to 6. After the 4th session, treatment was terminated as the patient was completely pain-free.
At the 1-year follow-up examination, the patient was still pain-free during daily activities and sports activities, and had full range of motion. In this case report, RSWT is presented as an effective treatment option for LHBB calcific tendinitis. RSWT may be a priority option over ultrasound-guided or arthroscopic barbotage in patients without tendon rupture. |
| first_indexed | 2024-04-24T19:36:28Z |
| format | Article |
| id | doaj.art-81bfdb2d34474eb188f2c46b5d4f1ab4 |
| institution | Directory Open Access Journal |
| issn | 1300-0551 2587-1498 |
| language | English |
| last_indexed | 2024-04-24T19:36:28Z |
| publishDate | 2024-02-01 |
| publisher | Turkish Sports Medicine Association |
| record_format | Article |
| series | Spor Hekimligi Dergisi |
| spelling | doaj.art-81bfdb2d34474eb188f2c46b5d4f1ab42024-03-25T13:19:07ZengTurkish Sports Medicine AssociationSpor Hekimligi Dergisi1300-05512587-14982024-02-01591333810.47447/tjsm.0752723Biceps brachii long head calcific tendinitis can be treated quickly and effectively with radial shockwave therapy: a case reportYavuz Şahbat0Görkem Çat1İlker Yağcı2Osman Mert Topkar3 Department of Orthopaedic Surgery and Traumatology, Marmara University, İstanbul, Türkiye Department of Orthopaedic Surgery and Traumatology, Marmara University, İstanbul, Türkiye Department of Physical Therapy and Rehabilitation, Marmara University, İstanbul, Türkiye Department of Orthopaedic Surgery and Traumatology, Marmara University, İstanbul, Türkiye Calcific tendinitis, which mostly involves the supraspinatus and rotator cuff tendons, may very rarely involve the long head of the biceps brachii (LHBB). Arthroscopy is the first choice in cases of calcific tendinitis accompanied by a rotator cuff tear but in cases where the rotator cuff is intact, there are different treatment methods, such as non-steroidal anti-inflammatory drugs (NSAID), steroid injection, Extracorporeal Shock Wave Therapy (ESWT), and Radial Shock Wave Therapy (RSWT). A 28-year-old male presented at the outpatient clinic with right shoulder pain which had been ongoing for 6 months. The patient, who was a licensed table tennis player and amateur bodybuilder, had no systemic diseases. After clinical and radiological evaluation, ultrasonography showed calcification at the level of the greater tuberculum of the right humerus. The patient was diagnosed with calcific tendinitis of the bicipital tendon. Magnetic resonance imaging (MRI) was then performed to investigate any rotator cuff pathology or glenohumeral joint pathology. No additional pathology was observed. The patient was managed with the standard RSWT protocol of four sessions. 0.25 mJ/mm2 3 bar 2000 beats administered with an electromagnetic lithotriptor. Before RSWT, the VAS score was 9 over 10 and Constant score was 37, and after the first session of RSWT, the VAS score of the patient had decreased to 6. After the 4th session, treatment was terminated as the patient was completely pain-free. At the 1-year follow-up examination, the patient was still pain-free during daily activities and sports activities, and had full range of motion. In this case report, RSWT is presented as an effective treatment option for LHBB calcific tendinitis. RSWT may be a priority option over ultrasound-guided or arthroscopic barbotage in patients without tendon rupture. https://journalofsportsmedicine.org/eng/full-text-pdf/723/eng biceps brachiishouldershockwave therapycalcium deposit |
| spellingShingle | Yavuz Şahbat Görkem Çat İlker Yağcı Osman Mert Topkar Biceps brachii long head calcific tendinitis can be treated quickly and effectively with radial shockwave therapy: a case report Spor Hekimligi Dergisi biceps brachii shoulder shockwave therapy calcium deposit |
| title | Biceps brachii long head calcific tendinitis can be treated quickly and effectively with radial shockwave therapy: a case report |
| title_full | Biceps brachii long head calcific tendinitis can be treated quickly and effectively with radial shockwave therapy: a case report |
| title_fullStr | Biceps brachii long head calcific tendinitis can be treated quickly and effectively with radial shockwave therapy: a case report |
| title_full_unstemmed | Biceps brachii long head calcific tendinitis can be treated quickly and effectively with radial shockwave therapy: a case report |
| title_short | Biceps brachii long head calcific tendinitis can be treated quickly and effectively with radial shockwave therapy: a case report |
| title_sort | biceps brachii long head calcific tendinitis can be treated quickly and effectively with radial shockwave therapy a case report |
| topic | biceps brachii shoulder shockwave therapy calcium deposit |
| url |
https://journalofsportsmedicine.org/eng/full-text-pdf/723/eng
|
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