Extracorporeal shock wave therapy, ultrasound-guided percutaneous lavage, corticosteroid injection and combined treatment for the treatment of rotator cuff calcific tendinopathy: a network meta-analysis of RCTs

Arirachakaran, Alisara; Boonard, Manusuk; Yamaphai, Sarunpong; Prommahachai, Akom; Kesprayura, Suraphol; Kongtharvonskul, Jatupon

doi:10.1007/s00590-016-1839-y

Cited by 63 publications

(52 citation statements)

References 40 publications

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“…Meta-analyses have shown that the ESWT administration in calcific tendinitis leads to decreasing VAS scores. [20] In our study, a clinical improvement similar to the calcific tendinitis was demonstrated with the ESWT application in non-calcific tendinitis.…”

Section: Discussionsupporting

confidence: 71%

Comparison Between Kinesio Taping And Extracorporeal Shockwave Therapy in Treatment of Subacromial Impingement Syndrome

Kepekçi¹,

Urkmez²,

Keskin³

et al. 2018

South Clin Ist Euras

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The aim of the study was to compare the effects of the kinesio taping (KT) and extracorporeal shock wave therapy (ESWT) methods in the treatment of subacromial impingement syndrome (SIS). Methods: In the present study, a total of 105 patients with SIS were randomly divided into three groups: active kinesio taping (Group 1), sham kinesio taping (Group 2), and extracorporeal shock wave therapy (Group 3). Visual analogue scale (VAS) was used to measure patients' pain, and the disabilities of the arm, shoulder and hand (DASH) score was used to evaluate the degree of functional disorders. Results: No statistically significant difference was determined between the groups with regard to age, gender, marital status, body mass index, and acromion types. Post-treatment VAS scores of Groups 1 and 3 decreased when compared to baseline VAS scores. Conclusion: Our study reveals the clinical benefit of KT and ESWT in the treatment of non-calcific tendinitis. They can be suggested as an alternative to conservative treatments according to short-term results.

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Section: Discussionsupporting

confidence: 71%

Comparison Between Kinesio Taping And Extracorporeal Shockwave Therapy in Treatment of Subacromial Impingement Syndrome

Kepekçi¹,

Urkmez²,

Keskin³

et al. 2018

South Clin Ist Euras

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“…However, a substantial number of patients has persisting symptoms requiring other therapies such as subacromial injections with corticosteroids, needle aspiration of calcific deposits (NACD), or extracorporeal shockwave therapy (ESWT) [5]. A recently published meta-analysis comparing these therapies concluded that NACD is the most effective treatment considering relevant clinical outcomes within a follow-up term of 2 years [6]. However, up to 42% of patients experience persisting or recurrent shoulder complaints after NACD [7,8].…”

Section: Introductionmentioning

confidence: 99%

Prognostic factors for the outcome of needle aspiration of calcific deposits for rotator cuff calcific tendinitis

et al. 2020

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Objective To identify prognostic factors for the effectiveness of needle aspiration of calcific deposits (NACD) for rotator cuff calcific tendinitis (RCCT) Methods One hundred forty-nine patients with symptomatic RCCT were included in a prospective cohort study. Pain (VAS), shoulder function (SST and DASH), and quality of life (EQ-5D) were assessed at baseline and at 3, 6, and 12 months post-NACD. Univariate analyses (independent t tests or Mann-Whitney U tests depending on the distribution of data) were performed to build a multivariable linear regression model. Stepwise regression analysis through backward elimination was performed to evaluate the effect of predefined prognostic factors on the outcome. Results Patients who underwent multiple NACD procedures had less reduction of pain (p < 0.01). Furthermore, a larger reduction in VAS pain scores at 3 months post-NACD was associated with a larger reduction in VAS pain scores at 12 months (p < 0.01). More improvement of SST and DASH scores at 3 months was associated with better SST, DASH, and EQ-5D scores at 12 months (p < 0.01). Smaller-size calcific deposits were associated with less improvement of DASH (p = 0.03) and EQ-5D scores (p = 0.01). A longer duration of symptoms prior to NACD was associated with less improvement of EQ-5D scores (p = 0.01). Conclusions A good initial response after NACD is associated with better outcomes at 12 months. Patients with a longer duration of symptoms prior to NACD and patients who require multiple procedures showed inferior outcomes in terms of pain reduction and improvement of quality of life. Smaller-size calcific deposits are associated with a less favorable outcome of shoulder function and quality of life scores and might therefore be less susceptible for NACD. Key Points • A good initial response to NACD is associated with a better outcome in the longer term. • A longer duration of symptoms and the need for multiple NACD procedures are associated with inferior outcomes. • Smaller-size calcific deposits seem less susceptible for NACD.

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“…There is 1 study that described success with minimally invasive ultrasound‐guided procedures, such as synovial cyst aspiration and corticosteroid injection for various rheumatic diseases, including gout [11]. To our knowledge, there has not been research published regarding ultrasound‐guided needle barbotage or percutaneous lavage for the treatment of intratendinous tophaceous gout, although multiple randomized controlled studies demonstrate improved outcomes from ultrasound‐guided percutaneous lavage in calcific tendonitis of the rotator cuff [12].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Treatment of Gouty Tophi in the Patellar Tendon Using Ultrasound‐Guided Needle Barbotage: A Case Presentation

Colberg

Henderson

2017

PM&R

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Extracorporeal shock wave therapy, ultrasound-guided percutaneous lavage, corticosteroid injection and combined treatment for the treatment of rotator cuff calcific tendinopathy: a network meta-analysis of RCTs

Cited by 63 publications

References 40 publications

Comparison Between Kinesio Taping And Extracorporeal Shockwave Therapy in Treatment of Subacromial Impingement Syndrome

Comparison Between Kinesio Taping And Extracorporeal Shockwave Therapy in Treatment of Subacromial Impingement Syndrome

Prognostic factors for the outcome of needle aspiration of calcific deposits for rotator cuff calcific tendinitis

Diagnosis and Treatment of Gouty Tophi in the Patellar Tendon Using Ultrasound‐Guided Needle Barbotage: A Case Presentation

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