Treatment of periscapular tendinopathy with radiofrequency coblation: a case report

Tham, A., McLean, M., Atherton, C. and Millar, N. L. (2020) Treatment of periscapular tendinopathy with radiofrequency coblation: a case report. SAGE Open Medical Case Reports, 8, pp. 1-4. (doi: 10.1177/2050313X20930612) (PMID:32695397) (PMCID:PMC7350035)

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Abstract

Overuse injuries of the tendon – ‘tendinopathy’ – account for 30%–50% of all sporting injuries and a high proportion of orthopaedic referrals from primary care physicians. Tendinopathies often have a multifactorial aetiology and injury can be due to a combination of both acute and chronic trauma which contributes to loss of tissue integrity and eventual rupture. Our incomplete understanding of the mechanisms surrounding tendon pathophysiology continues to cause difficulties in treatments beyond loading regimes which can be unsuccessful in up to 30% of cases. We describe an uncommon case of tendinopathy affecting the periscapular muscle/tendon unit in a 35-year-old female with persistent pain around the inferior posterior pole of her right scapula. Magnetic resonance imaging findings confirmed oedema of the muscles around the inferior scapular margin in keeping with enthesopathy/tendinopathy and she was treated with radiofrequency coblation to the area. This case highlights radiofrequency ablation as a surgical option should non-operative treatments fail in the rare diagnosis of periscapular tendinopathy.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Atherton, Caroline and Millar, Professor Neal and McLean, Michael
Authors: Tham, A., McLean, M., Atherton, C., and Millar, N. L.
College/School:College of Medical Veterinary and Life Sciences > Institute of Infection Immunity and Inflammation
Journal Name:SAGE Open Medical Case Reports
Publisher:SAGE
ISSN:2050-313X
ISSN (Online):2050-313X
Published Online:09 July 2020
Copyright Holders:Copyright © The Author(s) 2020
First Published:First published in SAGE Open Medical Case Reports 8:1-4
Publisher Policy:Reproduced under a Creative Commons license

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
301515Damage mechanisms in tendon diseaseNeal MillarMedical Research Council (MRC)MR/R020515/1III - Immunology