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European Journal of Physical and Rehabilitation Medicine 2016 April;52(2):145-51

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Extracorporeal shockwaves versus ultrasound-guided percutaneous lavage for the treatment of rotator cuff calcific tendinopathy: a randomized controlled trial

Federico DEL CASTILLO-GONZÁLEZ 1, Juan J. RAMOS-ÁLVAREZ 2, Guillermo RODRÍGUEZ-FABIÁN 1, José GONZÁLEZ-PÉREZ 1, Elena JIMÉNEZ-HERRANZ 3, Enrique VARELA 4

1 Centro Médico Deyre, Madrid, Spain; 2 School of Sports Medicine, Universidad Complutense de Madrid, Madrid, Spain; 3 Universidad Camilo José Cela, Madrid, Spain; 4 Department of Physical Medicine and Rehabilitation, Universidad Complutense de Madrid, Madrid, Spain


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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 Médico 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.
CLINICAL REHABILITATION IMPACT: The results obtained applying UGPL, the low cost and the lack of complications should therefore make the treatment of choice in centers that are appropriately equipped and staffed.

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