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The Effectiveness of High-Energy Extracorporeal Shockwave Therapy Versus Ultrasound-Guided Needling Versus Arthroscopic Surgery in the Management of Chronic Calcific Rotator Cuff Tendinopathy: A Systematic Review.高能体外冲击波疗法与超声引导下针刺疗法及关节镜手术治疗慢性钙化性肩袖肌腱病的疗效比较：一项系统评价
Arthroscopy. 2016 Jan;32(1):165-75. doi: 10.1016/j.arthro.2015.06.049. Epub 2015 Sep 15.
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Which method is more effective in treatment of calcific tendinitis in the shoulder? Prospective randomized comparison between ultrasound-guided needling and extracorporeal shock wave therapy.哪一种方法在治疗肩部钙化性肌腱炎方面更有效？超声引导下针刺与体外冲击波治疗的前瞻性随机比较。
J Shoulder Elbow Surg. 2014 Nov;23(11):1640-6. doi: 10.1016/j.jse.2014.06.036. Epub 2014 Sep 12.
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A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence.冲击波疗法治疗软组织疾病的系统评价：关注证据。
Br J Sports Med. 2014 Nov;48(21):1538-42. doi: 10.1136/bjsports-2012-091961. Epub 2013 Aug 5.
4
Calcific tendinitis of the rotator cuff: a randomized controlled trial of ultrasound-guided needling and lavage versus subacromial corticosteroids.肩袖钙化性肌腱炎：超声引导下针刺灌洗与肩峰下皮质类固醇注射的随机对照研究。
Am J Sports Med. 2013 Jul;41(7):1665-73. doi: 10.1177/0363546513487066. Epub 2013 May 21.
5
Extracorporeal shockwave therapy in calcifying tendinitis of the shoulder.体外冲击波疗法治疗肩钙化性肌腱炎。
Knee Surg Sports Traumatol Arthrosc. 2011 Dec;19(12):2085-9. doi: 10.1007/s00167-011-1479-z. Epub 2011 Mar 23.
6
Validation of the Dutch version of the Oxford Shoulder Score.验证荷兰版牛津肩部评分。
J Shoulder Elbow Surg. 2010 Sep;19(6):829-36. doi: 10.1016/j.jse.2010.01.017. Epub 2010 Apr 24.
7
The outcome of ultrasound-guided needle decompression and steroid injection in calcific tendinitis.超声引导下针松解联合类固醇注射治疗钙化性肌腱炎的疗效。
J Shoulder Elbow Surg. 2010 Jun;19(4):596-600. doi: 10.1016/j.jse.2009.09.002. Epub 2009 Dec 2.
8
Effectiveness of radial shock-wave therapy for calcific tendinitis of the shoulder: single-blind, randomized clinical study.桡骨冲击波疗法治疗肩部钙化性肌腱炎的有效性：单盲随机临床研究
Phys Ther. 2006 May;86(5):672-82.
9
The echo-guided treatment of calcific tendinitis of the shoulder.超声引导下肩部钙化性肌腱炎的治疗
Chir Organi Mov. 2004 Oct-Dec;89(4):319-23.
10
Shock wave therapy for calcific tendinitis of the shoulder: a prospective clinical study with two-year follow-up.冲击波治疗肩部钙化性肌腱炎：一项为期两年随访的前瞻性临床研究。
Am J Sports Med. 2003 May-Jun;31(3):425-30. doi: 10.1177/03635465030310031701.

超声引导下针刺与径向冲击波疗法治疗肩部钙化性肌腱炎的前瞻性随机试验

Ultrasound guided Needling vs Radial Shockwave Therapy in calcific tendinitis of the shoulder: A prospective randomized trial.

作者信息

De Boer Friso A, Mocking Femke, Nelissen Eelco M, Van Kampen Paulien M, Huijsmans Pol E

机构信息

HagaZiekenhuis, Department of Orthopaedic Surgery, Sportlaan 600, 2566 MJ The Hague, The Netherlands.

Spijkenisse Medical Centre, Department of Orthopaedic Surgery, Ruwaard van Puttenweg 500, Spijkenisse, 3201 GZ, The Netherlands.

出版信息

J Orthop. 2017 Aug 1;14(4):466-469. doi: 10.1016/j.jor.2017.07.011. eCollection 2017 Dec.

DOI:10.1016/j.jor.2017.07.011
PMID:28831234
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5552380/
Abstract

PURPOSE

Ultrasound Needling(UN) and Radial Shockwave(RSWT) aim to dissolve deposits in Shoulder Calcific tendinitis.

METHODS

RCT in 25 patients to compare short term effectiveness. Outcome measures were pain and functional outcome at 6 weeks and 1 year and decrease of deposits after 6 weeks.

RESULTS

UN decreased deposit more than RSWT(P = 0.029). After 6 weeks, Constant, NRS and Oxford improved more in UN. After 1 year, there was no significant difference in NRS(p = 0.45) or Oxford(p = 0.32).

CONCLUSION

Compared to RSWT, UN resulted in lower pain and faster resorption of calcifications after 6 weeks. No significant differences were found after 1 year.

摘要

目的

超声针刺（UN）和径向冲击波（RSWT）旨在溶解肩部钙化性肌腱炎中的沉积物。

方法

对25名患者进行随机对照试验以比较短期疗效。结果指标为6周和1年时的疼痛和功能结果，以及6周后沉积物的减少情况。

结果

UN比RSWT更能减少沉积物（P = 0.029）。6周后，Constant、NRS和牛津评分在UN组改善更明显。1年后，NRS（p = 0.45）或牛津评分（p = 0.32）无显著差异。

结论

与RSWT相比，UN在6周后疼痛更低，钙化吸收更快。1年后未发现显著差异。