@article{3104727,
    title = "Questioning the therapeutic value of corticosteroid bursal injection after ultrasound-guided irrigation and lavage for the treatment of shoulder calcific tendinosis",
    author = "Malahias, M.-A. and Chronopoulos, E. and Raoulis, V. and Vergados, N. and Kaseta, M.-K. and Nikolaou, V.S.",
    journal = "Indian Journal of Orthopaedics",
    year = "2020",
    volume = "18",
    pages = "16-22",
    publisher = "Reed Elsevier India Pvt. Ltd.",
    doi = "10.1016/j.jor.2019.10.009",
    keywords = "betamethasone;  corticosteroid;  lidocaine, Article;  clinical article;  clinical effectiveness;  clinical evaluation;  controlled study;  follow up;  human;  lavage;  long term care;  patient satisfaction;  priority journal;  shoulder impingement syndrome;  symptom;  treatment duration;  treatment response;  ultrasound guided irrigation and lavage;  visual analog scale",
    abstract = "Objectives: The therapeutic value of corticosteroid bursal injection after ultrasound-guided irrigation and lavage for the treatment of shoulder calcific tendinosis has not been established yet in the long term. Methods: 41 patients suffering from chronic symptomatic rotator cuff calcific tendinopathy were recruited for this study. Group A (20 patients) received a double needle ultrasound-guided irrigation and lavage of the calcification with xylocaine injection, while group B (21 patients) underwent a double needle ultrasound-guided irrigation and lavage of the calcification with a xylocaine and betamethazone bursal injection. Results: After twelve months, we documented full –or almost full- decline (VAS: 0–20/100) of the symptoms in 70% of the group A patients and in 61.9% of the group B patients. There was no statistical difference (chi square, p < 0.05) in group success ratio. We also did not find any statistical difference as for the mean Q-DASH difference between the two groups (t-test). Conclusions: It was proven that the additional use of corticosteroid bursal injection did not provide with any additional short- to mid-term therapeutic benefit those patients with shoulder calcific tendinopathy who were treated with ultrasound-guided aspiration. © 2019 Professor P K Surendran Memorial Education Foundation"
}