TY - JOUR
TI - Questioning the therapeutic value of corticosteroid bursal injection after ultrasound-guided irrigation and lavage for the treatment of shoulder calcific tendinosis
AU - Malahias, M.-A.
AU - Chronopoulos, E.
AU - Raoulis, V.
AU - Vergados, N.
AU - Kaseta, M.-K.
AU - Nikolaou, V.S.
JO - Indian Journal of Orthopaedics
PY - 2020
VL - 18
TODO - null
SP - 16-22
PB - Reed Elsevier India Pvt. Ltd.
SN - null
TODO - 10.1016/j.jor.2019.10.009
TODO - 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
TODO - 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
ER -