Clinical and radiological outcomes of ultrasound-guided barbotage using a spinal needle and subacromial steroid injection for calcific tendinitis of the shoulder

Background Ultrasound (US)-guided techniques reported for the treatment of calcific tendinitis have mostly demonstrated good results. This study investigates the effect of US-guided barbotage using a spinal needle in patients with calcific tendinitis of the shoulder. Methods Thirty-six patients with...

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Main Authors: Jun Pyo Lee, Doo Sup Kim, Jin Young Han, Seung Hoon Baik, Ji Woong Kwak, Sung Hwa Kim
Format: Article
Language:English
Published: Korean Shoulder and Elbow Society 2022-06-01
Series:Clinics in Shoulder and Elbow
Subjects:
Online Access:http://www.cisejournal.org/upload/pdf/cise-2021-00724.pdf
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author Jun Pyo Lee
Doo Sup Kim
Jin Young Han
Seung Hoon Baik
Ji Woong Kwak
Sung Hwa Kim
author_facet Jun Pyo Lee
Doo Sup Kim
Jin Young Han
Seung Hoon Baik
Ji Woong Kwak
Sung Hwa Kim
author_sort Jun Pyo Lee
collection DOAJ
description Background Ultrasound (US)-guided techniques reported for the treatment of calcific tendinitis have mostly demonstrated good results. This study investigates the effect of US-guided barbotage using a spinal needle in patients with calcific tendinitis of the shoulder. Methods Thirty-six patients with calcific tendinitis of the shoulder treated by US-guided barbotage with a spinal needle and subacromial steroid injection were included in the study. We evaluated clinical outcomes based on American Shoulder and Elbow Surgeons (ASES) score, Constant score, and visual analog scale (VAS) for pain score. Radiological outcomes were assessed by X-ray imaging at each visit. Results Our results showed that US-guided barbotage and subacromial steroid injection produced good clinical and radiological outcomes in patients with calcific tendinitis of the shoulder. Of the 36 patients, only one required surgical treatment, while the others showed improvement without any complications. Compared to values before the procedure, calcific deposit size and VAS, ASES, and Constant scores showed significant improvement 6 weeks after the procedure. No significant correlation was found between the initial calcific deposit size and clinical outcomes at each time point. Conclusions In patients with calcific tendinitis of the shoulder, US-guided barbotage using a spinal needle and subacromial steroid injection can yield satisfactory clinical and radiological results.
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spelling doaj.art-58fcf19e8f1849a795f37217f11a27352024-02-02T05:02:24ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212022-06-0125214014410.5397/cise.2021.00724857Clinical and radiological outcomes of ultrasound-guided barbotage using a spinal needle and subacromial steroid injection for calcific tendinitis of the shoulderJun Pyo Lee0Doo Sup Kim1Jin Young Han2Seung Hoon Baik3Ji Woong Kwak4Sung Hwa Kim5 Department of Orthopedic Surgery, Yonsei Baro Chuk Hospital, Seoul, Korea Department of Orthopedic Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Orthopedic Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Orthopedic Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Orthopedic Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Biostatistics, Yonsei University Wonju College of Medicine, Wonju, KoreaBackground Ultrasound (US)-guided techniques reported for the treatment of calcific tendinitis have mostly demonstrated good results. This study investigates the effect of US-guided barbotage using a spinal needle in patients with calcific tendinitis of the shoulder. Methods Thirty-six patients with calcific tendinitis of the shoulder treated by US-guided barbotage with a spinal needle and subacromial steroid injection were included in the study. We evaluated clinical outcomes based on American Shoulder and Elbow Surgeons (ASES) score, Constant score, and visual analog scale (VAS) for pain score. Radiological outcomes were assessed by X-ray imaging at each visit. Results Our results showed that US-guided barbotage and subacromial steroid injection produced good clinical and radiological outcomes in patients with calcific tendinitis of the shoulder. Of the 36 patients, only one required surgical treatment, while the others showed improvement without any complications. Compared to values before the procedure, calcific deposit size and VAS, ASES, and Constant scores showed significant improvement 6 weeks after the procedure. No significant correlation was found between the initial calcific deposit size and clinical outcomes at each time point. Conclusions In patients with calcific tendinitis of the shoulder, US-guided barbotage using a spinal needle and subacromial steroid injection can yield satisfactory clinical and radiological results.http://www.cisejournal.org/upload/pdf/cise-2021-00724.pdfcalcific tendinitisneedlingsteroid injection
spellingShingle Jun Pyo Lee
Doo Sup Kim
Jin Young Han
Seung Hoon Baik
Ji Woong Kwak
Sung Hwa Kim
Clinical and radiological outcomes of ultrasound-guided barbotage using a spinal needle and subacromial steroid injection for calcific tendinitis of the shoulder
Clinics in Shoulder and Elbow
calcific tendinitis
needling
steroid injection
title Clinical and radiological outcomes of ultrasound-guided barbotage using a spinal needle and subacromial steroid injection for calcific tendinitis of the shoulder
title_full Clinical and radiological outcomes of ultrasound-guided barbotage using a spinal needle and subacromial steroid injection for calcific tendinitis of the shoulder
title_fullStr Clinical and radiological outcomes of ultrasound-guided barbotage using a spinal needle and subacromial steroid injection for calcific tendinitis of the shoulder
title_full_unstemmed Clinical and radiological outcomes of ultrasound-guided barbotage using a spinal needle and subacromial steroid injection for calcific tendinitis of the shoulder
title_short Clinical and radiological outcomes of ultrasound-guided barbotage using a spinal needle and subacromial steroid injection for calcific tendinitis of the shoulder
title_sort clinical and radiological outcomes of ultrasound guided barbotage using a spinal needle and subacromial steroid injection for calcific tendinitis of the shoulder
topic calcific tendinitis
needling
steroid injection
url http://www.cisejournal.org/upload/pdf/cise-2021-00724.pdf
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