Τίτλος:
Questioning the therapeutic value of corticosteroid bursal injection after ultrasound-guided irrigation and lavage for the treatment of shoulder calcific tendinosis
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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
Συγγραφείς:
Malahias, M.-A.
Chronopoulos, E.
Raoulis, V.
Vergados, N.
Kaseta, M.-K.
Nikolaou, V.S.
Περιοδικό:
Indian Journal of Orthopaedics
Εκδότης:
Reed Elsevier India Pvt. Ltd.
Λέξεις-κλειδιά:
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
DOI:
10.1016/j.jor.2019.10.009
