Elattar, H., Halawa, A., Zayed, T. (2021). 'Management of Calcific Supraspinatus TendinitisA Systematic Review', Benha Journal of Applied Sciences, 6(3), pp. 53-59. doi: 10.21608/bjas.2021.169812
Elattar, H., Halawa, A., Zayed, T. Management of Calcific Supraspinatus TendinitisA Systematic Review. Benha Journal of Applied Sciences, 2021; 6(3): 53-59. doi: 10.21608/bjas.2021.169812
Management of Calcific Supraspinatus TendinitisA Systematic Review
1Orthopedic Surgery,Dept., Faculty of Medicine, Benha Univ., Benha, Egypt
2Kafr Elsheikh General Hospital Add: Kutour, Gharbia, Egypt
Abstract
Background: The objectives of this comprehensive quantitative review of the treatment of calcific supraspinatus tendinitis were to investigate if there is a sustainable positive effect on outcomes after treatment with extracorporeal shockwave therapy (ESWT) or ultrasound (US)-guided needling and to compare these results with those of treatment with arthroscopic surgery. Method: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to conduct this review. A systematic literature search was conducted in December 2019 to identify relevant clinical articles in peer-reviewed journals with at least 3 months’ follow-up. Each article was scored using the Coleman Methodology Score. The primary endpoints were functional outcome and radiologic change in the size of the calcific deposit. Results: Twenty-four studies were included (1,509 shoulders). The mean Coleman Methodology Score for the included studies was 77.1± 9.1. Overall, good to excellent clinical outcomes were achieved after treatment with either ESWT, US-guided needling, or arthroscopic surgery, with an improvement in the Constant-Murley score ranging between 26.3 and 41.5 points after 1 year. No severe side effects or long-term complications were encountered. Conclusions: Patients can achieve good to excellent clinical outcomes after ESWT, US-guided needling, and arthroscopy for calcific tendinopathy of the shoulder. Side effects and posttreatment complications should be taken into account when a decision is being made for each individual patient. Physicians should consider ESWT and US-guided needling as minimally invasive treatment options when primary conservative treatment fails. Arthroscopy can safely be used as a very effective but more invasive secondary option, although the extent of deposit removal and the additional benefit of subacromial decompression remain unclear. Keywords: Calcific Tendinitis, Treatment, ESWT, US-PICT, Arthroscopy, supraspinatus Management UGN.
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