Efficacy of ultrasound-guided percutaneous lavage for rotator cuff calcific tendinopathy
| العنوان: | Efficacy of ultrasound-guided percutaneous lavage for rotator cuff calcific tendinopathy |
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| المؤلفون: | Zhang, Tao, Duan, Yanji, Chen, Jing, Chen, Xiao |
| المصدر: | Medicine |
| بيانات النشر: | Wolters Kluwer Health, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Extracorporeal Shockwave Therapy, Male, extracorporeal shock wave therapy, Calcinosis, rotator cuff calcific tendonitis, Middle Aged, ultrasound-guided percutaneous lavage, Injections, Intra-Articular, Rotator Cuff Injuries, meta-analysis, Treatment Outcome, Adrenal Cortex Hormones, Shoulder Pain, Humans, Female, Therapeutic Irrigation, Systematic Review and Meta-Analysis, Physical Therapy Modalities, Ultrasonography, Interventional, Research Article |
| الوصف: | Background: Rotator cuff calcific tendinopathy (RCCT) is frequently diagnosed in patients with shoulder pain, but there is no consensus on its treatment such as rest, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, subacromial corticosteroid injection (SAI), extracorporeal shock wave therapy (ESWT), and ultrasound-guided percutaneous lavage (UGPL). The aim of the study was to compare the effectiveness of UGPL with other techniques in the treatment of RCCT. Methods: Literature searches of PubMed, EMBASE, OVID, Cochrane Library, Web of Science, Chinese Biomedical Literature, Wanfang, Weipu Journal, and CNKI databases were performed up to August 2018. Only randomized controlled trials (RCTs) comparing UGPL vs other methods for RCCT were included. Data collection and extraction, quality assessment, and data analyses were performed according to the Cochrane standards. Results: Eight RCTs were included with 617 cases in all. The result of meta-analysis showed that: there were significant differences between the UGPL and ESWT group in 12-month follow-up VAS, constant shoulder score (CSS), the average particle size of the calcium deposition, and the calcification disappearance rate. However, there was no significant difference in complication between 2 groups. Conclusion: The present meta-analysis indicates that UGPL has certain clinical effect for calcifying tendinitis of rotator cuff. Compared with ESWT, UGPL may be superior in clinical pain relief and calcification clearance. However, owing to the limited quality and quantity of the included studies, additional high-quality RCTs are needed to confirm these findings. |
| اللغة: | English |
| تدمد: | 1536-5964 0025-7974 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=pmid________::d9c603c13292c0f5d6f47d673073f148Test http://europepmc.org/articles/PMC6571387Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.pmid..........d9c603c13292c0f5d6f47d673073f148 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15365964 00257974 |
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