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TRAITEMENT DES CALCIFICATIONS D'EPAULE
Extracorporeal shock wave therapy in the treatment of
calcific tendinitis of the rotator cuff.
Sabeti-Aschraf M,
Dorotka R,
Goll A,
Trieb K.
AKH-Wien, Orthopadie, Wahringer Gurtel 18-20, 1090 Vienna, Austria. manusabeti@gmx.at.
BACKGROUND: Low-energy extracorporeal shock wave therapy is an alternative
treatment, with limited evidence for effectiveness, for calcific tendinitis of
the rotator cuff. HYPOTHESIS: Objective localization of the calcium deposit by
3-dimensional, computer-assisted navigation reveals superior clinical and
radiographic outcomes compared to localization through patient-to-therapist
feedback. STUDY DESIGN: Randomized controlled clinical trial; Level of evidence,
1. METHODS: A prospective, randomized, single-blind study was carried out on 50
patients. The population was divided into 2 groups of equal numbers (navigation
group and feedback group). In all patients, treatment-resistant pain was evident
for longer than 6 months. A total of 3 therapy sessions of constant low-energy
focused shock wave therapy was administered in weekly intervals in both groups.
Local anesthesia was not applied. Radiographs and clinical assessment, including
the Constant and Murley shoulder scoring system and the visual analog scale for
pain, were performed both before therapy and after 12 weeks. In the navigation
group, the calcium deposit was localized using a radiographically guided,
3-dimensional, computer-assisted device. The feedback group was treated after
locating the point of maximum tenderness through palpation by the therapist with
feedback from the patient. RESULTS: Both groups had significant improvements in
the Constant and Murley score and the visual analog scale after 12 weeks. The
results from the navigation group were statistically significantly superior to
those of the feedback group. In the navigation group, 6 calcium deposits
disappeared and 9 altered, compared to 1 disappearance and 12 alterations in the
feedback group. No severe complications occurred. CONCLUSION: Three-dimensional,
computer-assisted navigation reveals significantly better results and is
therefore recommended when extracorporeal shock wave therapy is used in the
treatment of calcific tendinitis of the rotator cuff.
Pour davantage d'informations, contactez :
CENTRE DE TRAITEMENT PAR ONDES DE CHOC
11, rue Matabiau 31000 TOULOUSE
Tél : 0561350404
Télécopie : 0562730213
Internet :
infos@lithotripsie-toulouse.net
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