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Extracorporeal shockwaves versus ultrasound-guided percutaneous lavage for the treatment of rotator cuff calcific tendinopathy: a randomised controlled trial

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Del Castillo, Federico and Ramos Álvarez, Juan José and Rodriguez Fabián, Guillermo and González Pérez, José and Jiménez Herranz, Elena and Varela, Enrique (2016) Extracorporeal shockwaves versus ultrasound-guided percutaneous lavage for the treatment of rotator cuff calcific tendinopathy: a randomised controlled trial. European Journal of Physical and Rehabilitation Medicine, 52 (2). pp. 145-151. ISSN 1973-9087

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Official URL: https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2016N02A0145



Abstract

BACKGROUND:
Extracorporeal shockwave treatment (ESWT) and ultrasound-guided percutaneous lavage (UGPL) are two effective ways of treating rotator cuff calcific tendinopathy (RCCT).
AIM:
The aim of the present study was to compare the effectiveness of these techniques in the treatment of RCCT.
DESIGN:
Prospective, randomized, controlled trial.
SETTING:
Patients treated in our sports medicine and rehabilitation center (Centro Médico Deyre, Madrid. Spain) between January 2007 and December 2013.
METHODS:
This randomized study compares the results achieved with these techniques over one year following their use to treat the above condition. Eighty patients received ESWT and 121 received UGPL. A visual analogue scale was used to measure pain, and ultrasound to determine the extent of calcification, at 3, 6, and 12 months after treatment.
RESULTS:
Pain and the amount of calcification were significantly reduced by both techniques at 3, 6 and 12 months (P<0.001 for each), but significantly more so by UGPL (P<0.001).
CONCLUSIONS:
Both techniques are valid for the treatment of RCCT, although UGPL is associated with a greater reduction of calcification and greater reduction in pain.
CLINICAL REHABILITATION IMPACT:
The results obtained applying UGPL, the low cost and the lack of complications should therefore make the treatment of choice in centers that are appropriately equipped and staffed.

Resumen (otros idiomas)

Item Type:Article
Uncontrolled Keywords:Tendinopathy, High-energy shock waves, Ultrasonography, Therapeutic irrigation
Subjects:Medical sciences > Medicine > Diagnostic imaging and Nuclear medicine
Medical sciences > Medicine > Physical medicine and medical rehabilitation
Medical sciences > Medicine > Musculoskeletal System
ID Code:47622
Deposited On:22 May 2018 10:57
Last Modified:22 May 2018 10:57

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