SUMMARY
Objective. To compare combined treatment ultrasound guided needling (UGL) and extracorporeal shockwave therapy (ESWT) versus ESWT alone in symptomatic calcific tendinopathy of supraspinatus.
Methods. It is a prospective observational study. The participants were 50 consecutive patients with painful (NRS > 5) calcific tendinitis of the shoulder. Clinical and radiological data were collected before treatment (T0) at one (T1) and three months (T2) follow-up.
Eligible patients were assigned to the Intervention Group (IG) with combined treatment and 3 sessions of focused ESWT (23 patients). Patients not willing to undergo UGL were considered as the Control Group (CG) and treated with 3 sessions of ESWT alone (27 patients). 36 patients reached T2.
Results. Combined treatment was more effective in NRS reduction at one (T1) month follow up (p < 0.001). Moreover, in IG, it was observed a statistically significant difference in NRS (p < 0.001) and in the CMS (p < 0.001) at three months follow-up (T2). Calcific deposit was eradicated more effectively by combined treatment, with total resorption in 79 % at T2 (p < 0.001).
Conclusions. Combined treatment ultrasound-guided needling lavage and shockwave therapy is a rapid, safe and effective treatment in patients with painful calcific tendinopathy, in pain reduction at one month follow-up.
Treatment for Symptomatic Calcific Tendinopathy of the Shoulder: Ultrasound-Guided Needling Lavage and Extracorporeal Shock Wave Therapy vs Extracorporeal Shock Wave Therapy. A prospective observational study
Davide Di Renzi, Susanna Zavaroni, Melissa Mazzola, Ludovica Petroselli, Andrea Antonio Bruno, Donatella Trischitta, Maria Chiara Vulpiani, Mario Vetrano
Original Article, 440-448
Keywords: Barbotage, calcific deposit, calcific tendinopathy, eccentric exercise therapy ESWT, rotator cuff, shock wave therapy, shoulder pain, ultrasound-guided needling lavage, ultrasound-guided percutaneous irrigation,
Table of Content: Vol. 13 (No.3) 2023 July/September
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Telemedicine and Orthopedic Surgery: A Narrative Review
Francesco Oliva, Alessandro Bartoli, Giuliano Sammaria, Gabriella Oliva, Nicola MaffulliREVIEW, 353-359 -
Changes in Proprioceptive Control in the Menstrual Cycle: a Risk Factor for Injuries? A Proof-of-Concept Study
Antonio Frizziero, Andrea Demeco, Francesco Oliva, Davide Bigliardi, Francesco Presot, Serena Faentoni, Stefano Palermi, Chiara Saglietti, Cosimo CostantinoOriginal Article, 360-367 -
Relationship between Functional and Laboratory Balance Assessment in Females with Patellofemoral Pain Syndrome
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Long-Term Whole-Body Vibration on Knee Extensor Function: A Randomized Clinical Trial
Eduardo Khun Schimanko, Jaline Rossato, Karina Andrade Hidalgo, Renata Adam Baioco, Alberito Rodrigo de Carvalho, Gladson Ricardo Flor BertoliniOriginal Article, 376-382 -
Cross-Cultural Adaptation and Validation of the Italian Version of the Spine Functional Index
Lorenzo Pannuti, Antonio Marsocci, Francesca Curti, Giuseppe Maggi, Brunella Petrone, Ambrogio Peretti, Enzo Ruberti, Fabrizio MagnificaOriginal Article, 383-393 -
Toe-In during Sit-To-Stand Reduces Knee Adduction Moment in People with Moderate Knee Osteoarthritis
Farniaz Faroughi, Samaneh Gholami, Giti TorkamanOriginal Article, 394-401 -
The Role of Monitoring of the Board of Statutory Auditors in the Management of the Italian Hospitals
Filippo Migliorini, Alessandro MiglioriniREVIEW, 402-407 -
Targeted Injection can Improve Groin Pain Management in Osteitis Pubis: A Narrative Review
Luigi Di Lorenzo, Franceso Forte, Alfonso Maria ForteREVIEW, 408-414 -
Effects of Sliding Cupping Therapy on Pain Intensity, Fatigue Perception and Muscle Performance After a 10 Km Run: Protocol for a Sham-Controlled Randomized Clinical Trial
Maria Madalena Xavier Freitas, Emerson Levy Dutra de Almeida Filho, Ítalo Fonseca de Oliveira, Janaína de Oliveira Andrade, Emádia Bezerra Campelo, Yago Tavares Pinheiro, Leônidas de Oliveira Neto, Caio Alano de Almeida LinsOriginal Article, 415-420 -
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Lucas Plens de Britto Costa, Fernando Gonzalez Corrêa, Henrique César Monteiro Cunha, Eduardo Souza Maciel, André Vitor Kerber Cavalcante Lemos, Caio Augusto Souza Nery, Nacime Salomão Barbachan MansurOriginal Article, 430-435 -
Human Response to Plague: a Literary and Sociologic Perspective
Ilaria Morelli, Nicola Maffulli, Giuseppe M. PerettiPosition Paper, 436-439 -
Treatment for Symptomatic Calcific Tendinopathy of the Shoulder: Ultrasound-Guided Needling Lavage and Extracorporeal Shock Wave Therapy vs Extracorporeal Shock Wave Therapy. A prospective observational study
Davide Di Renzi, Susanna Zavaroni, Melissa Mazzola, Ludovica Petroselli, Andrea Antonio Bruno, Donatella Trischitta, Maria Chiara Vulpiani, Mario VetranoOriginal Article, 440-448 -
Deadlift Exercise with Shoes or Barefoot: Effects on Balance and Postural Control in Men and Women
Alex Souto Maior, Lara França da SilvaOriginal Article, 449-455 -
Physiotherapy Interventions and Assessment Methods for Diastasis Recti Abdominis in Postpartum Women: A Systematic Review Protocol
Elham Soleimanzadeh, Hakimeh Adigozali, Hanieh Salehi-Pourmehr, Tabassom Ghanavati, Fariba GhaderiReview, 456-462 -
Quality and Reliability of Trigger Finger YouTube Videos
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Zeynep Aykin Yigman, Damla Cankurtaran, Ebru UmayOriginal Article, 469-475 -
Three-Dimensional Silicon Mold Analysis of the Carpal Tunnel: A Morphometric Study in Human Cadavers
Melanie Rose Dsouza, Anil K. Bhat, Sneha Guruprasad Kalthur, Samuel Allwyn JoshuaOriginal Article, 476-483 -
Peripheral Muscle Function and Myoelectric Activity of the Suprahyoid Region in Deglutition of Post-COVID-19 Patients
Viviane Bohrer Berni, Juliana Alves Souza, Tamires Daros dos Santos, Erica Andrea Vega Arteaga, Ana Carolina Leonardi Dutra, Isabella Martins de Albuquerque, Angela Ruviaro Busanello Stella, Adriane Schmidt PasqualotoOriginal Article, 484-493 -
The “Fat or Fit Paradox” in Postmenopausal Women: A Cross-Sectional Study on the Association Between Skeletal Muscle Mass, Adiposity, and Muscle Strength
Nurdiana Z. AbidinOriginal Article, 494-503 -
Whole-Body Vibration to Enhance Skeletal Muscle Performance and Flexibility in Healthy Adults: A Narrative Review
Mariam A. Ameer, Ammar M. Al AbbadReview, 504-515