Determining the efficacy of barbotage for pain relief in calcific tendinitis

Background: Rotator cuff calcific tendinitis is a common cause of shoulder discomfort. Ultrasound-guided barbotage consists of needle aspiration and a subsequent lavage of calcium deposits in the shoulder. While barbotage has proven benefit, other options have also shown similar symptom improvement....

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Veröffentlicht in:JSES international. - 2020. - 8(2024), 5 vom: 28. Sept., Seite 1039-1044
1. Verfasser: Werry, W Doug (VerfasserIn)
Weitere Verfasser: Hedeman, Margaret, Sharma, Arnav, Garfi, John, Elentuck, Dmitry, Samuelsen, Brian, Kasparyan, George, Lemos, Mark
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2024
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Aspiration and lavage Barbotage Calcific tendinitis Corticosteroids Pain management Patient-reported outcomes
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520 |a Background: Rotator cuff calcific tendinitis is a common cause of shoulder discomfort. Ultrasound-guided barbotage consists of needle aspiration and a subsequent lavage of calcium deposits in the shoulder. While barbotage has proven benefit, other options have also shown similar symptom improvement. This study aims to examine pain outcomes of patients following barbotage of calcific tendinitis. We hypothesize that barbotage will improve shoulder pain scores compared to preprocedure scores 
520 |a Methods: This is a retrospective chart review of 179 ultrasound-guided barbotage interventions for calcific tendinitis of the rotator at a New England urban medical center. Patient pain scores were analyzed using a Friedman's analysis of variance at a significance level of α = 0.05, and statistical significance between groups was elucidated using nonparametric post-hoc tests of significance between groups 
520 |a Results: Pain scores at preprocedure, 2-month, 6-month, and 12-month follow-ups yielded significant differences. Post-hoc nonparametric analysis revealed pain scores at 2 months were significantly lower than preprocedure and at 6 months. Additionally, 47.5% of cases in this study went on to require a secondary procedure of the respective shoulder after their barbotage treatment 
520 |a Conclusion: Upon analysis, utilization of barbotage as a treatment for calcific tendonitis of the shoulder appears to produce notable pain reduction in the short term (specifically at the 2-month follow-up), but begins to lose some efficacy over long-term evaluation. Additionally, a large portion of patients required further interventions of their shoulder, including corticosteroid injections, more barbotage, or surgery, raising further concerns over its long-term benefit 
650 4 |a Journal Article 
650 4 |a Aspiration and lavage 
650 4 |a Barbotage 
650 4 |a Calcific tendinitis 
650 4 |a Corticosteroids 
650 4 |a Pain management 
650 4 |a Patient-reported outcomes 
700 1 |a Hedeman, Margaret  |e verfasserin  |4 aut 
700 1 |a Sharma, Arnav  |e verfasserin  |4 aut 
700 1 |a Garfi, John  |e verfasserin  |4 aut 
700 1 |a Elentuck, Dmitry  |e verfasserin  |4 aut 
700 1 |a Samuelsen, Brian  |e verfasserin  |4 aut 
700 1 |a Kasparyan, George  |e verfasserin  |4 aut 
700 1 |a Lemos, Mark  |e verfasserin  |4 aut 
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773 1 8 |g volume:8  |g year:2024  |g number:5  |g day:28  |g month:09  |g pages:1039-1044 
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