Abstract：
BACKGROUND: Calcific tendinitis of the shoulder is a common disorder resulting in restricted motion and pain.
OBJECTIVE: This study compared the effects of ultrasound-guided fine-needle puncture (USNP), radial shock wave therapy (RSWT), and the combination of both treatments (COMB) on calcific tendinitis of the shoulder.
METHODS: We enrolled 62 patients who had unilateral shoulder pain for more than 3 months. The patients were randomly divided into three groups: USNP, RSWT, and COMB. All USNP needle punctures were guided with ultrasound (US), and RSWT was delivered at 2 Hz (2000 shock waves; 0.26 mJ/mm2) once a week for 3 weeks. The COMB group received three weekly rounds of RSWT after a single US-guided needle puncture. The primary outcome was the pain visual analog scale (VAS), and secondary outcomes were the Constant scores, 36-Item Short-Form Health Survey, and range of motion.
RESULTS: A within-group comparison at 3 months revealed significant improvements in the pain VAS (p< 0.05, during activity) and Constant (p< 0.05) scores, but between-group comparisons revealed no statistically significant differences in the pain VAS (p> 0.05) or Constant (p= 0.089) scores. Only improvement differences in role-emotional (SF-36; p= 0.01) and active external rotation (p= 0.035) were determined over time, which favored the USNP and COMB groups.
CONCLUSIONS: Although no significant differences were observed among the groups in the treatment of calcific tendinitis of the shoulder, more satisfactory outcomes were noted in the USNP and COMB groups than in the RSWT group. Larger samples, longer follow-up times, and other treatment protocols are suggested for future studies.
OBJECTIVE: This study compared the effects of ultrasound-guided fine-needle puncture (USNP), radial shock wave therapy (RSWT), and the combination of both treatments (COMB) on calcific tendinitis of the shoulder.
METHODS: We enrolled 62 patients who had unilateral shoulder pain for more than 3 months. The patients were randomly divided into three groups: USNP, RSWT, and COMB. All USNP needle punctures were guided with ultrasound (US), and RSWT was delivered at 2 Hz (2000 shock waves; 0.26 mJ/mm2) once a week for 3 weeks. The COMB group received three weekly rounds of RSWT after a single US-guided needle puncture. The primary outcome was the pain visual analog scale (VAS), and secondary outcomes were the Constant scores, 36-Item Short-Form Health Survey, and range of motion.
RESULTS: A within-group comparison at 3 months revealed significant improvements in the pain VAS (p< 0.05, during activity) and Constant (p< 0.05) scores, but between-group comparisons revealed no statistically significant differences in the pain VAS (p> 0.05) or Constant (p= 0.089) scores. Only improvement differences in role-emotional (SF-36; p= 0.01) and active external rotation (p= 0.035) were determined over time, which favored the USNP and COMB groups.
CONCLUSIONS: Although no significant differences were observed among the groups in the treatment of calcific tendinitis of the shoulder, more satisfactory outcomes were noted in the USNP and COMB groups than in the RSWT group. Larger samples, longer follow-up times, and other treatment protocols are suggested for future studies.
摘要：
背景：肩关节钙化性肌腱炎是一种常见的疾病，导致活动受限和疼痛。
目的：本研究比较了超声引导细针穿刺（USNP）的效果，径向冲击波疗法（RSWT），以及两种治疗方法的结合（COMB）治疗肩关节钙化性肌腱炎。
方法：我们招募了62例单侧肩痛超过3个月的患者。将患者随机分为三组：USNP，RSWT,和COMB。所有USNP针穿刺均采用超声（US）引导，RSWT以2Hz（2000冲击波；0.26mJ/mm2）每周一次，持续3周。COMB组在一次美国引导的针头穿刺后每周接受三轮RSWT。主要结果是疼痛视觉模拟量表（VAS），次要结果是Constant评分，36项短期健康调查，和运动范围。
结果：3个月时的组内比较显示疼痛VAS（p<0.05，活动期间）和Constant（p<0.05）评分显着改善，但组间比较显示疼痛VAS(p>0.05)或Constant(p=0.089)评分无统计学差异.随着时间的推移，仅确定角色情绪（SF-36;p=0.01）和主动外部旋转（p=0.035）的改善差异，这有利于USNP和COMB组。
结论：虽然两组在治疗肩关节钙化性肌腱炎方面没有显著差异，与RSWT组相比,USNP组和COMB组的结局更令人满意.更大的样品，随访时间更长，和其他治疗方案建议未来的研究。
目的：本研究比较了超声引导细针穿刺（USNP）的效果，径向冲击波疗法（RSWT），以及两种治疗方法的结合（COMB）治疗肩关节钙化性肌腱炎。
方法：我们招募了62例单侧肩痛超过3个月的患者。将患者随机分为三组：USNP，RSWT,和COMB。所有USNP针穿刺均采用超声（US）引导，RSWT以2Hz（2000冲击波；0.26mJ/mm2）每周一次，持续3周。COMB组在一次美国引导的针头穿刺后每周接受三轮RSWT。主要结果是疼痛视觉模拟量表（VAS），次要结果是Constant评分，36项短期健康调查，和运动范围。
结果：3个月时的组内比较显示疼痛VAS（p<0.05，活动期间）和Constant（p<0.05）评分显着改善，但组间比较显示疼痛VAS(p>0.05)或Constant(p=0.089)评分无统计学差异.随着时间的推移，仅确定角色情绪（SF-36;p=0.01）和主动外部旋转（p=0.035）的改善差异，这有利于USNP和COMB组。
结论：虽然两组在治疗肩关节钙化性肌腱炎方面没有显著差异，与RSWT组相比,USNP组和COMB组的结局更令人满意.更大的样品，随访时间更长，和其他治疗方案建议未来的研究。
