Best Practice Case Studies-Systematic Review Ultrasound Barbotage video

Video Transcription

Video Summary

Mary Grace Castro, a sports medicine fellow, discusses calcific tendinopathy of the shoulder, a condition characterized by calcium deposits in rotator cuff tendons causing pain and dysfunction. Although the exact cause is unknown, it isn't linked to trauma or overuse and might be associated with systemic diseases like diabetes. Treatments can range from conservative therapies, such as anti-inflammatories, to more invasive procedures like ultrasound-guided lavage, which breaks and removes calcium deposits. Castro reviews a 2019 BMJ study focusing on the effectiveness of ultrasound-guided lavage. Despite showing low-quality but some effectiveness in alleviating pain and improving function compared to other methods such as shockwave therapy or steroids alone, the study's small sample size and high risk of bias limit its conclusions. The presentation stresses the choice of treatment should consider patient preference and provider expertise, with surgery as a last resort. The presentation concludes with a robust discussion on the various biases, methodologies, and practical implementation of these treatment techniques.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 51

Topic Shoulder

Keywords

3rd Edition, CASE 51

3rd Edition

Shoulder

calcific tendinopathy

rotator cuff

ultrasound-guided lavage

shoulder pain

treatment methods

systemic diseases