Comparison of the Efficiency of Ultrasound-Guided Lavage and Subacromial Bursa Injection in Calcific Tendinitis
Condition: Calcific Tendinitis; Calcific Tendinitis of Shoulder; Shoulder Pain
MeSH terms: Shoulder Pain; Tendinopathy
Study type: Interventional

Summary: 
      It is aimed to compare in the early period the clinical and ultrasonographic findings in
      terms of the effectiveness of ultrasound-guided subacromial bursa injection with
      corticosteroid and ultrasound-guided lavage, which are the treatment options available in the
      literature for patients with calcific tendinitis who do not respond to conservative
      treatment.
    

Detailed description: 
      Calcific tendinitis is a disease that occurs with the precipitation of hydroxyapatite
      crystals on tendons and shoulder region is the most involved. In the shoulder region,
      calcific tendinitis can involve all rotator cuff tendons, most commonly the supraspinatus. It
      may progress with pain and functional limitation. The pain can increase with movement or can
      occur at rest and sleep. The prevalence of calcific tendinitis is between 2.7% and 20% in the
      general population. The most common age group is between 30 and 60. It can negatively affect
      the family and social life of the person and cause loss of workforce.

      Especially in the treatment of patients with calcific tendinitis unresponsive to conservative
      treatment, ultrasound-guided corticosteroid injection in subacromial bursa and
      ultrasound-guided lavage are frequently used treatment options. However, there are very few
      studies in the literature comparing these two treatment methods as randomized controlled
      trials.

      In this study, it is aimed to compare the effectiveness of ultrasound guided subacromial
      bursa injection and ultrasound guided lavage procedures on pain scores, functional scales,
      disability scales, direct radiography findings and ultrasonographic imaging findings.
    

Intervention name(s): Ultrasound Guided Lavage; Ultrasound Guided Subacromial Bursa Injection
Intervention type(s): Procedure; Procedure
Intervention description(s): After local anesthesia of subcutaneous tissue, lavage will be performed under the guidance of ultrasound using an 18-gauge needle with injectors filled with 4 ml of saline. The needle will be advanced to the center of the calcific deposit. The injector will be kept as parallel to the ground as possible. The plunger of the injector will be pushed with a gently pressure and then released. Calcific deposits are expected to be filled into the syringe along with saline. It is predicted that the clear saline will gradually turn white and become cloudy due to the incoming calcific deposits. When the color of the liquid becomes cloudy, the syringe will be removed without moving the needle, and a new syringe containing 4 ml saline will be placed in its place. Thus, the aspirated calcific deposits will not be reinjected. The same process will be repeated with a new saline filled syringe. After the procedure, 2 ml dexamethasone and 3 ml lidocaine will be injected in subacromial bursa.; 2 ml dexamethasone and 3 ml %2 lidocaine will be injected in the subacromial bursa using a 21-gauge needle under ultrasound guidance.
Other intervention name(s): Ultrasound Guided Barbotage
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Calcific tendinitis; Shoulder pain; Ultrasound-guided; Lavage; Barbotage; subacromial bursa injection