Ultrasound Guided Needling Versus Ultrasound Guided Corticosteroid Injection Alone, a Randomized Controlled Trial. (BARB-01)
Calcific Tendinitis
About this trial
This is an interventional treatment trial for Calcific Tendinitis focused on measuring calcifying tendinitis, rotator cuff
Eligibility Criteria
Inclusion Criteria:
- Shoulder pain without improvement after 3 months despite conservative treatment
- Calcification on x-ray (Gartner type I of II) and ultrasound in the supraspinatus tendon less than 6 weeks before the treatment
- All patients are first seen and included by the orthopaedic surgeon
Exclusion Criteria:
- Previous operation of the shoulder
- Previous ultrasound guided needling of the shoulder
- Frozen shoulder
- Last corticosteroid injection less than 3 months ago
- Comorbidities of the painful shoulder on x-ray or ultrasound ( ruptured tendon, fracture, bursitis,...)
- No informed consent
- Pregnancy
Sites / Locations
- Medisch Spectrum TwenteRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Us guided needling
corticosteroid injection
Us guided needling is a therapeutical technique treating calcifying tendinitis of the shoulder. Calcifications in the rotator cuff tendon are visualised with ultrasound. Under ultrasound guidance a 20 gauge needle is inserted in the calcification. Lidocaine 1% in a 1cc syringe is injected in the calcification and aspirated. The calcification is flushed until the fluid is clear. Sometimes it is not possible to flush the calcification. In this case the calcification will be fragmented. After flushing or fragmentation of the calcification, 20 mg triamcinolone with 1cc lidocaine 1% will be injected in de subacromial bursa under us guidance.
Us guided subacromial bursa injection with 20 mg triamcinolone with 1cc lidocaine 1%.