Treatment of calcifying tendinitis of the shoulder: Us guided needling with corticosteroid injection vs. us guided corticosteroid injection alone, a randomized controlled trial.

Completed

Conditions: shoulder calcifications
Calcifying tendinitis of the shoulder
10043237

Registration Number: NL-OMON37434

Lead Sponsor: Medisch Spectrum Twente

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 80

Inclusion Criteria

-Shoulder pain without improvement after 3 months despite conservative treatment
-Calcification on x-ray ( Gärtner type I of II) and ultrasound in the supraspinatus tendon less than 6 weeks before the treatment
-All patients are first seen and included by the orthopaedic surgeon
-Last corticosteroid injection more than 3 months ago

Exclusion Criteria

-Previous operation
- previous ultrasound guided needling of the shoulder
-Frozen shoulder
-Comorbidities of the painful shoulder on x-ray or ultrasound ( ruptured tendon, fracture, bursitis,...)
-No informed consent
-Pregnancy

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>To compare long term outcome of patients with calcifying tendinitis of the<br /><br>rotator cuff treated with us guided needling with us guided cortocosteroids<br /><br>injection versus us guided cortocosteroids injection only. The primary endpoint<br /><br>is VAS and Contstant scores at 1 year. </p><br>

Secondary Outcome Measures

Name	Time	Method
<p>To get an insight in shoulder disability in daily life DASH score will be<br /><br>measured at baseline, 6 weeks, 3 months, 6 months and 1 year.<br /><br><br /><br>VAS and Constant score at baseline, 6 weeks, 3 and 6 months.<br /><br><br /><br>Sometimes patients have heavy pain very shortly after us guided needling. Vas<br /><br>score will be taken after two weeks.<br /><br><br /><br>The reaction of the calcifications of the rotator cuff tendons on the executed<br /><br>therapy will be measured on x-ray and ultrasound of the shoulder using Gärtner<br /><br>score on x-ray and a scoring system presented by Chiou et all. on ultrasound.<br /><br>The measurements will be made directly post-interventionial, at 6 weeks and one<br /><br>year.</p><br>