Departments of Orthopedics.
Physical Medicine and Rehabilitation; and.
Clin J Sport Med. 2022 Sep 1;32(5):458-466. doi: 10.1097/JSM.0000000000001039. Epub 2022 Apr 22.
The purpose of this study was to compare a traditional barbotage technique with percutaneous ultrasonic barbotage (PUB) for the treatment of rotator cuff (RC) calcific tendinopathy.
Three-year retrospective review.
Participants aged 18 to 75 presenting at 2 highly specialized outpatient orthopedic referral centers with symptomatic RC calcific tendinopathy.
There were 75 patients included (23 patients in the traditional barbotage group; 52 patients in the PUB group) with an average age of 55.3(6.5) and 55.9(9.8), respectively. There was no significant difference in demographics between groups.
Traditional barbotage or PUB.
Primary outcome measure was pain rated on the Numeric Pain Rating Scale (NPRS) with secondary outcomes investigating patient satisfaction.
The barbotage and PUB group demonstrated a significant improvement in pain (barbotage 2.4, P = 0.01; PUB = 2.6, P < 0.001) with no statistically significant difference between the 2 treatment modalities (95% CI: -1.8 to 2.2; P = 0.83, P = 0.83). Median follow-up for NPRS recordings was 17-weeks in the barbotage group and 8-weeks in the PUB group ( P = 0.004). Both groups demonstrated similar patient-reported satisfaction, without major complications.
The traditional barbotage and PUB procedures improved pain with a high patient satisfaction rate.
Level III.
本研究旨在比较传统的水刀技术与经皮超声水刀（PUB）治疗肩袖（RC）钙化性肌腱炎。
为期 3 年的回顾性研究。
在 2 家高度专业化的门诊骨科转诊中心，有症状的 RC 钙化性肌腱炎患者年龄在 18 至 75 岁之间。
共纳入 75 例患者（传统水刀组 23 例，PUB 组 52 例），平均年龄分别为 55.3（6.5）和 55.9（9.8），两组患者在人口统计学上无显著差异。
传统水刀或 PUB。
主要观察指标为数字疼痛评分量表（NPRS）评估的疼痛，次要观察指标为患者满意度。
水刀和 PUB 组疼痛均显著改善（水刀组 2.4，P = 0.01；PUB 组 2.6，P < 0.001），两种治疗方法之间无统计学差异（95%CI：-1.8 至 2.2；P = 0.83，P = 0.83）。水刀组 NPRS 记录的中位随访时间为 17 周，PUB 组为 8 周（P = 0.004）。两组患者报告的满意度均相似，无重大并发症。
传统水刀和 PUB 均可改善疼痛，且患者满意度高。
III 级。
