Het effect van barbotage bij tendinitis calcarea.

Oudelaar, B. (Bart) (2014) Het effect van barbotage bij tendinitis calcarea. thesis, Medicine.

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Abstract

Introduction Needle aspiration of calcific deposits (NACD) is the treatment of choice for calcific tendinitis (CT) that does not respond well to conservative treatment. NACD is effective in approximately 70-75% of the patients. Multiple treatments are often necessary to obtain permanent results. Factors associated with treatment failure or the need for multiple treatments are unknown. In a retrospective cohort study we investigated variables associated with treatment failure and the need for multiple treatments. Methods In the period from January 2010 till June 2013, 431 consecutive patients (277 female, 154 male; average age 51,4 years) with symptomatic CT treated by NACD were included. A dichotomous symptom scale (symptom-free or not symptom-free) was used to analyze results at six months post-intervention. Logistic regression analysis was used for identifying factors associated with treatment failure and the need for multiple treatments. Results At six months post intervention 73,5% of patients were free of symptoms. Not achieving a NRS score <3 two weeks post-intervention (OR 2,58; p=0,001) and being referred by an orthopedic surgeon (OR 3,63; p<0,001) were associated with treatment failure. Higher NRS scores at two weeks post-intervention were associated with multiple treatments (OR 1,16; p=0,004). Conclusion NACD is an effective treatment for CT in 74% of patients. The factors associated with failure of treatment and the need for multiple treatments have only limited clinical value. Therefore, this study does not offer a good explanation for treatment failure or the need for multiple treatments. However, this study shows that partial rotator cuff tears do not affect the outcome of NACD. Accordingly, NACD is an effective treatment for patients with CT and concomitant partial rotator cuff tears. Based on this study we suggest to consider a second NACD procedure in case of persistent complaints and to postpone surgical interventions for as long as possible.

Item Type:	Thesis (Thesis)
Supervisor name:	Ooms, Dr. E.M. and Huis in ‘t Veld, Dr. R. and Orthopedisch Centrum Oost Nederland
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 11:04
Last Modified:	25 Jun 2020 11:04
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/2410

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