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KMID : 1195520110040020077
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Journal of Korean Orthopaedic Ultrasound Society
2011 Volume.4 No. 2 p.77 ~ p.83
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Short-term Follow up Study of Calcific Tendinitis Using Ultrasonography Guided Injection
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Sim Jung-Hyun
Kwon Jae-Bum
Park Chang-Min
Choi Chang-Hyuk
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Abstract
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Purpose: We compared with USG-guided steroid injection group and blind steroid injection group for the treatment of calcific tendinitis to evaluate the effectiveness of the treatment modalities.
Materials and Methods: We reviewed two groups of calcific tendinitis treated with steroid injection and follow up upto 6 month after injection. Group I was blind injection for 88 patient with average age of 53years old and female gender in 77%. Group II was USG- guided injection for 102 patients with average age of 54years old and female gender in 85%. We compared follow up results according to age, gender, size of tendon involvement, initial VAS score, and phase of the calcific tendinitis between two groups.
Results: At 6 month’s follow up period, USG-guided injected group was more prevalent compared to blind injection group with 92%(94/102) and 72%(64/88) (P<0.05). In Group I, 77%(49/64) patients have improved symptom. And in Group II, 92%(86/94) patients have improved symptom in formative or resorptive phase. Despite of symptom improvement, calcium deposit is remained 47%(30/64) in Group I, and 20%(19/94) in Group II.
Conslusion: Conservative treatment of Shoulder calcific tendinitis patients through USG-guided injection is more effective than Blind injection in pain relief & calcium decrease. The patients USG-guided injected group was more prevalent in follow up at outpatient clinic, throughout more accurate injection with improved confidence.
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KEYWORD
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Shoulder, Calcific tendinitis, Ultrasonography guided steroid injection
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