Management of Calcific Supraspinatus TendinitisA Systematic Review
| Autor: | T.A. Zayed, Abdelsamie M. Halawa, H.A. Elattar |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Dry needling
medicine.medical_specialty medicine.diagnostic_test Shoulders business.industry medicine.medical_treatment Arthroscopy Calcific tendinitis General Medicine Subacromial decompression medicine.disease Systematic review Tendinitis Extracorporeal shockwave therapy medicine Physical therapy business |
| Zdroj: | Benha Journal of Applied Sciences. 6:53-59 |
| ISSN: | 2356-976X |
| Popis: | Background: The objectives of this comprehensive quantitative review of the treatment of calcific supraspinatus tendinitis were to investigate if there is a sustainable positive effect on outcomes after treatment with extracorporeal shockwave therapy (ESWT) or ultrasound (US)-guided needling and to compare these results with those of treatment with arthroscopic surgery. Method: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to conduct this review. A systematic literature search was conducted in December 2019 to identify relevant clinical articles in peer-reviewed journals with at least 3 months’ follow-up. Each article was scored using the Coleman Methodology Score. The primary endpoints were functional outcome and radiologic change in the size of the calcific deposit. Results: Twenty-four studies were included (1,509 shoulders). The mean Coleman Methodology Score for the included studies was 77.1± 9.1. Overall, good to excellent clinical outcomes were achieved after treatment with either ESWT, US-guided needling, or arthroscopic surgery, with an improvement in the Constant-Murley score ranging between 26.3 and 41.5 points after 1 year. No severe side effects or long-term complications were encountered. Conclusions: Patients can achieve good to excellent clinical outcomes after ESWT, US-guided needling, and arthroscopy for calcific tendinopathy of the shoulder. Side effects and posttreatment complications should be taken into account when a decision is being made for each individual patient. Physicians should consider ESWT and US-guided needling as minimally invasive treatment options when primary conservative treatment fails. Arthroscopy can safely be used as a very effective but more invasive secondary option, although the extent of deposit removal and the additional benefit of subacromial decompression remain unclear. Keywords: Calcific Tendinitis, Treatment, ESWT, US-PICT, Arthroscopy, supraspinatus Management UGN. |
| Databáze: | OpenAIRE |
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