Calcific Tendinopathy of the Shoulder: A Retrospective Comparison of Traditional Barbotage Versus Percutaneous Ultrasonic Barbotage.

Autor:	Berrigan W; Departments of Orthopedics., Olufade O; Departments of Orthopedics., Negron G; Physical Medicine and Rehabilitation; and., Easley K; Biostatistics and Bioinformatics, Emory University, Atlanta, Georgia., Sussman WI; Department of Orthopedics and Rehabilitation, Tufts University, Medford, Massachusetts; and.; Boston Sports & Biologics, Wellesley, Massachusetts.
Jazyk:	angličtina
Zdroj:	Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine [Clin J Sport Med] 2022 Sep 01; Vol. 32 (5), pp. 458-466. Date of Electronic Publication: 2022 Apr 22.
DOI:	10.1097/JSM.0000000000001039
Abstrakt:	Objective: The purpose of this study was to compare a traditional barbotage technique with percutaneous ultrasonic barbotage (PUB) for the treatment of rotator cuff (RC) calcific tendinopathy. Design: Three-year retrospective review. Setting: Participants aged 18 to 75 presenting at 2 highly specialized outpatient orthopedic referral centers with symptomatic RC calcific tendinopathy. Patients: There were 75 patients included (23 patients in the traditional barbotage group; 52 patients in the PUB group) with an average age of 55.3(6.5) and 55.9(9.8), respectively. There was no significant difference in demographics between groups. Interventions: Traditional barbotage or PUB. Main Outcome Measures: Primary outcome measure was pain rated on the Numeric Pain Rating Scale (NPRS) with secondary outcomes investigating patient satisfaction. Results: The barbotage and PUB group demonstrated a significant improvement in pain (barbotage 2.4, P = 0.01; PUB = 2.6, P < 0.001) with no statistically significant difference between the 2 treatment modalities (95% CI: -1.8 to 2.2; P = 0.83, P = 0.83). Median follow-up for NPRS recordings was 17-weeks in the barbotage group and 8-weeks in the PUB group ( P = 0.004). Both groups demonstrated similar patient-reported satisfaction, without major complications. Conclusion: The traditional barbotage and PUB procedures improved pain with a high patient satisfaction rate. Level of Evidence: Level III. Competing Interests: The authors report no conflicts of interest. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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