Document Detail

Ultrasound-Guided Barbotage for Calcific Tendonitis of the Shoulder: A Systematic Review including 908 Patients.
MedLine Citation:
PMID:  24813322     Owner:  NLM     Status:  Publisher    
PURPOSE: A systematic review was performed to assess the outcomes and complications of ultrasound-guided barbotage (repeated injection and aspiration) for calcific tendonitis of the shoulder.
METHODS: A literature search of the Medline, Embase, and Cochrane databases using all relevant keywords found 1,454 original articles. After removal of duplicates and application of inclusion criteria, 13 original articles were selected for review. Articles that used fluoroscopic guidance rather than ultrasound guidance were excluded from the review. All studies analyzed except 1 were case series, with no comparative studies being available.
RESULTS: Thirteen articles with a total of 908 patients were analyzed. In all articles reviewed, the authors reported a good clinical outcome, with many achieving marked improvement in clinical scores or overall satisfaction with the treatment.
CONCLUSIONS: Ultrasound-guided barbotage is a safe technique, with a high success rate and low complication rate. There is no evidence assessing its effectiveness compared with other major treatment modalities; a randomized trial comparing ultrasound-guided barbotage, extracorporeal shock wave therapy, and arthroscopic calcific deposit excision would be of great value. However, while awaiting such a trial, on the basis of the results of this systematic review, we can recommend ultrasound-guided barbotage.
LEVEL OF EVIDENCE: Level IV, systematic review of Level IV studies.
Daniel L Gatt; Charalambos P Charalambous
Publication Detail:
Type:  REVIEW     Date:  2014-5-9
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  -     ISSN:  1526-3231     ISO Abbreviation:  Arthroscopy     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-5-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
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