shoulder, rotator cuff, calcific, tendinopathy, treatment, shockwave, ESWT, barbotage, percutaneous needling, minimally invasive, schouder, tendinosis calcarea
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age > 18 Clinical signs of subacromial pain of the Symptoms persisting for more than four Unsuccessful conservative therapy within the previous four months (Physiotherapy, radiotherapy, infiltration with local anaesthetics and/or steroids, anti-inflammatory drugs.) Standardised radiographs showing calcific deposits with a diameter of at least 5 mm o Morphological type-I and type-II deposits corresponding to the classification of Gartner and Simons on radiographs: Type I, sharply outlined and densely structured. Type II, sharply outlined and inhomogenous or homogenous with no defined border
Exclusion criteria
Exclusion criteria: Evidence of full thickness tears of the rotator cuff on physical examination, ultrasound images or MRI Radiological signs of spontaneous resorption of the deposit and type-III deposits according to the classification of Gartner and Simons: Type III, cloudy and transparent in structure Calcific deposits in multiple tendons of the rotator cuff Acute subacromial/subdeltoid bursitis Osteoarthritis of the glenohumeral or acromioclavicular joint Adhesive capsulitis Previous surgery to the shoulder Instability of the shoulder ESWT / barbotage within the last year Reumatoid arthritis Neurological disorders or dysfunction of the upper limb Heart pacemaker, pregnancy, infection, tumour, hypocoagulability Unability to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Constant Murley Score | — |
Secondary
| Measure | Time frame |
|---|---|
| DASH, VAS (pain), VAS (satisfaction), complications, SF-12, work-ability questionnaire, change in radiographic morphology and size | — |
Contacts
Department of orthopedic surgery Spaarne Ziekenhuis Spaarnepoort 1