Technique
- •
Obtain consent after checking the patient’s procedure form.
- •
Position the patient according to the region being treated.
- •
Consider the recumbent or supine position.
- •
You can put the patient on his or her side or in an oblique position.
- •
For the supraspinatus tendon, infiltrate a local anaesthetic into the subdeltoid bursa under ultrasound guidance and using aseptic technique.
- •
Wait for full anaesthesia.
- •
Introduce the needle into the calcification under ultrasound visualization.
- •
Pass the needle back and forth through the calcification and inject warmed saline and aspirate as you proceed. The consistency of the calcification will determine the success of aspiration. A milky solution will be obtained with soft Ca ++ , but no aspirate will be obtained with hard Ca ++ . If the Ca ++ is hard, no aspirate may be obtained but the Ca ++ can be broken up by the needling.
