Document Detail


Rotator cuff calcific tendonitis: short-term and 10-year outcomes after two-needle us-guided percutaneous treatment--nonrandomized controlled trial.
MedLine Citation:
PMID:  19561254     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare short- and long-term outcomes of patients with rotator cuff calcific tendonitis who did and did not undergo ultrasonographically (US)-guided percutaneous treatment. MATERIALS AND METHODS: Institutional review board approval and informed patient consent were obtained. Of patients referred for US-guided treatment of rotator cuff calcific tendonitis, 219 (86 men, 133 women; mean age, 40.3 years +/- 10.9 [standard deviation]) were treated; 68 (31 men, 37 women; mean age, 40.2 years +/- 11.3) patients refused treatment and served as control subjects. After local anesthesia was induced, two 16-gauge needles were inserted into the calcific deposit. Saline solution was injected through one needle, and the dissolved calcium was extracted through the other needle. Shoulder joint function was assessed by using Constant scores, and pain was assessed by using visual analogue scale (VAS) scores. Mann-Whitney U and chi(2) tests were performed. RESULTS: At baseline, no significant difference in age or sex distribution, Constant score, or VAS score was detected between treated and nontreated (control) patients. Compared with control subjects, treated patients reported a significant decrease in symptoms at 1 month (mean Constant score, 73.2 +/- 6.2 vs 57.5 +/- 3.9; mean VAS score, 4.8 +/- 0.6 vs 9.1 +/- 0.5), 3 months (mean Constant score, 90.2 +/- 2.6 vs 62.6 +/- 7.2; mean VAS score, 3.3 +/- 0.4 vs 7.3 +/- 1.8), and 1 year (mean Constant score, 91.7 +/- 3.1 vs 78.4 +/- 9.5; mean VAS score, 2.7 +/- 0.5 vs 4.5 +/- 0.9) (P < .001). Symptom scores were not significantly different between the groups at 5 years (mean Constant score, 90.9 +/- 3.6 vs 90.5 +/- 4.8; mean VAS score, 2.6 +/- 0.5 vs 2.8 +/- 0.7) (P >or= .795) and 10 years (mean Constant score, 91.8 +/- 5.0 vs 91.3 +/- 9.6; mean VAS score, 2.5 +/- 0.6 vs 2.7 +/- 0.6) (P >or= .413). CONCLUSION: US-guided percutaneous treatment facilitated prompt shoulder function recovery and pain relief. Treated patients had better outcomes than did nontreated patients at 1 year. However, 5 and 10 years after the procedure, the nontreated group reported outcomes similar to those of the treated group.
Authors:
Giovanni Serafini; Luca M Sconfienza; Francesca Lacelli; Enzo Silvestri; Alberto Aliprandi; Francesco Sardanelli
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Radiology     Volume:  252     ISSN:  1527-1315     ISO Abbreviation:  Radiology     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-29     Completed Date:  2009-07-22     Revised Date:  2010-03-04    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  157-64     Citation Subset:  AIM; IM    
Copyright Information:
(c) RSNA, 2009.
Affiliation:
Unit of Radiology, Azienda Sanitaria Locale 2 Savonese, Ospedale Santa Corona, Via XXV Aprile 38, 17027 Pietra Ligure, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Calcinosis / epidemiology,  surgery*,  ultrasonography*
Comorbidity
Female
Humans
Italy / epidemiology
Longitudinal Studies
Male
Needles*
Rotator Cuff / surgery*,  ultrasonography*
Surgery, Computer-Assisted / instrumentation*,  statistics & numerical data
Tendinopathy / epidemiology,  surgery*,  ultrasonography*
Treatment Outcome
Ultrasonography, Interventional / instrumentation,  statistics & numerical data
Comments/Corrections
Comment In:
Radiology. 2010 Mar;254(3):990; author reply 990-1   [PMID:  20177112 ]
Erratum In:
Radiology. 2010 Feb;254(2):636

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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