%0 Journal Article
%A Del Castillo, Federico
%A Ramos Álvarez, Juan José
%A Rodriguez Fabián, Guillermo
%A González Pérez, José
%A Jiménez Herranz, Elena
%A Varela Donoso, Enrique
%T Extracorporeal shockwaves versus ultrasound-guided percutaneous lavage for the treatment of rotator cuff calcific tendinopathy: a randomised controlled trial
%D 2016
%@ 1973-9087
%U https://hdl.handle.net/20.500.14352/23506
%X BACKGROUND:Extracorporeal shockwave treatment (ESWT) and ultrasound-guided percutaneous lavage (UGPL) are two effective ways of treating rotator cuff calcific tendinopathy (RCCT).AIM:The aim of the present study was to compare the effectiveness of these techniques in the treatment of RCCT.DESIGN:Prospective, randomized, controlled trial.SETTING:Patients treated in our sports medicine and rehabilitation center (Centro Médico Deyre, Madrid. Spain) between January 2007 and December 2013.METHODS:This randomized study compares the results achieved with these techniques over one year following their use to treat the above condition. Eighty patients received ESWT and 121 received UGPL. A visual analogue scale was used to measure pain, and ultrasound to determine the extent of calcification, at 3, 6, and 12 months after treatment.RESULTS:Pain and the amount of calcification were significantly reduced by both techniques at 3, 6 and 12 months (P<0.001 for each), but significantly more so by UGPL (P<0.001).CONCLUSIONS:Both techniques are valid for the treatment of RCCT, although UGPL is associated with a greater reduction of calcification and greater reduction in pain.CLINICAL REHABILITATION IMPACT:The results obtained applying UGPL, the low cost and the lack of complications should therefore make the treatment of choice in centers that are appropriately equipped and staffed.
%~