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Extracorporeal shockwaves versus ultrasound-guided percutaneous lavage for the treatment of rotator cuff calcific tendinopathy: a randomized controlled trial [with consumer summary]
del Castillo-Gonzalez F, Ramos-Alvarez JJ, Rodriguez-Fabian G, Gonzalez-Perez J, Jimenez-Herranz E, Varela E
European Journal of Physical and Rehabilitation Medicine 2016 Apr;52(2):145-151
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

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 Medico 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.

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