Isolated Infraspinatus Tear and Suprascapular Nerve Neuropathy after Barbotage and Steroid Injection of Calcific Tendinitis

Jin-Young Bang

doi:10.5763/kjsm.2016.34.2.190

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Bang: Isolated Infraspinatus Tear and Suprascapular Nerve Neuropathy after Barbotage and Steroid Injection of Calcific Tendinitis

Case Report

Korean J Sports Med 2016;34(2):190-194.

Published online: 20 January 2016

DOI: https://doi.org/10.5763/kjsm.2016.34.2.190

Isolated Infraspinatus Tear and Suprascapular Nerve Neuropathy after Barbotage and Steroid Injection of Calcific Tendinitis

Jin-Young Bang

Department of Orthopedic Surgery, Inje University Haeundae Paik Hospital, Inje University School of Medicine, Busan, Korea

Correspondence: Jin-Young Bang Department of Orthopedic Surgery, Inje University Haeundae Paik Hospital, Inje University School of Medicine, 875 Haeun-daero, Haeundae-gu, Busan 48108, Korea Tel: +82-51-797-0990, Fax: +82-51-797-0990 E-mail: allthatineed@hanmail.net

Received 25 August 2016 Revised 8 November 2016 Accepted 9 November 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Isolated rupture of infraspinatus after barbotage for calcific tendinitis has not been reported in the literature. We report on a case of isolated infraspinatus rupture and suprascapular nerve neuropathy after steroid injection and barbotage of calcific tendinitis in rotator cuff. At 6-month follow-up after surgery, satisfactory clinical and radiological outcomes were observed with daily activity level. The author reports this case and review the literature.

Keywords: Calcific tendinitis, Rotator cuff tear, Suprascapular nerve neuropathy, Barbotage, Steroid injection

References

1. de Witte PB, Selten JW, Navas A, et al. Calcific tendinitis of the rotator cuff: a randomized controlled trial of ultrasound-guided needling and lavage versus subacromial corticosteroids. Am J Sports Med. 2013; 41:1665–73.

2. Suzuki K, Potts A, Anakwenze O, Singh A. Calcific tendinitis of the rotator cuff: management options. J Am Acad Orthop Surg. 2014; 22:707–17.

3. Bhatia M, Singh B, Nicolaou N, Ravikumar KJ. Correlation between rotator cuff tears and repeated subacromial steroid injections: a case-controlled study. Ann R Coll Surg Engl. 2009; 91:414–6.

4. Tillander B, Franzen LE, Karlsson MH, Norlin R. Effect of steroid injections on the rotator cuff: an experimental study in rats. J Shoulder Elbow Surg. 1999; 8:271–4.

5. Gatt DL, Charalambous CP. Ultrasound-guided barbotage for calcific tendonitis of the shoulder: a systematic review including 908 patients. Arthroscopy. 2014; 30:1166–72.

6. Boykin RE, Friedman DJ, Higgins LD, Warner JJ. Suprascapular neuropathy. J Bone Joint Surg Am. 2010; 92:2348–64.

7. Sergides NN, Nikolopoulos DD, Boukoros E, Papagianno-poulos G. Arthroscopic decompression of an entrapped suprascapular nerve due to an ossified superior transverse scapular ligament: a case report. Cases J. 2009; 2:8200.

8. Kim SH, Koh YG, Sung CH, Moon HK, Park YS. Iatrogenic suprascapular nerve injury after repair of type II SLAP lesion. Arthroscopy. 2010; 26:1005–8.

9. Gladstone JN, Bishop JY, Lo IK, Flatow EL. Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome. Am J Sports Med. 2007; 35:719–28.

10. Albritton MJ, Graham RD, Richards RS 2nd, Basamania CJ. An anatomic study of the effects on the suprascapular nerve due to retraction of the supraspinatus muscle after a rotator cuff tear. J Shoulder Elbow Surg. 2003; 12:497–500.

Fig. 1.

The calcific deposit (arrow) in the subacromial space is almost completely resorbed.

Fig. 2.

(A) Magnetic resonance imaging showed that the distal region of the infraspinatus tendon had a full-thickness tear, while the proximal region was retracted medially past the glenoid cavity with fatty atrophy. (B) An incomplete full-thickness tear of the teres minor muscle was also present.

Fig. 3.

(A) An infraspinatus tear accompanied by calcification was observed. (B) Arthroscopic infraspinatus tendon repair was performed using knotless anchor suture.

Fig. 4.

(A) Arthroscopic suprascapular nerve release was performed using metal trocar. (B) The dotted line shows suprascapular nerve compressed by scapular spine. SP: scapular spine, IST: infraspinatus.

Fig. 5.

Magnetic resonance imaging of 6 months following surgery showed that the infraspinatus tear was repaired (A) and that infraspinatus muscle mass was slightly increased (B).

Fig. 6.

Relationships of suprascapular nerve and scapular spine. If the infraspinatus tendon was retracted, suprascapular nerve will be compressed by scapular spine. Arrow: suprascapular nerve, arrow head: suprascapular artery.

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