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Ultrasound guided needling versus radial shockwave therapy in calcific tendinitis of the shoulder: a prospective randomized trial
de Boer FA, Mocking F, Nelissen EM, van Kampen PM, Huijsmans PE
Journal of Orthopaedics 2017 Dec;14(4):466-469
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; 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*

PURPOSE: Ultrasound needling (UN) and radial shockwave (RSWT) aim to dissolve deposits in shoulder calcific tendinitis. METHODS: RCT in 25 patients to compare short term effectiveness. Outcome measures were pain and functional outcome at 6 weeks and 1 year and decrease of deposits after 6 weeks. RESULTS: UN decreased deposit more than RSWT (p = 0.029). After 6 weeks, Constant, NRS and Oxford improved more in UN. After 1 year, there was no significant difference in NRS (p = 0.45) or Oxford (p = 0.32). CONCLUSION: Compared to RSWT, UN resulted in lower pain and faster resorption of calcifications after 6 weeks. No significant differences were found after 1 year.

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