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COMPARISON OF ULTRASOUND-GUIDED LAVAGE AND SUBACROMIAL BURSA INJECTION FOR CALCIFIC TENDINITIS: A PROSPECTIVE,

Nuri Tuğbay Yıldıran1, Bilge Çakır1, Tuğçe Özekli Mısırlıoğlu1

  • 1Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Istanbul Turkey.

Archives of Physical Medicine and Rehabilitation
|June 27, 2026
PubMed
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Ultrasound-guided lavage offers superior pain relief and reduces calcific deposit size compared to subacromial bursa injection for calcific tendinitis. Both treatments provide early clinical improvement, but lavage shows better outcomes in resting pain and ultrasonographic findings.

Area of Science:

  • Orthopedics
  • Radiology
  • Physical Medicine and Rehabilitation

Background:

  • Calcific tendinitis is a common cause of shoulder pain and disability.
  • Conservative treatments are often ineffective for resistant cases.
  • Ultrasound-guided interventions offer targeted treatment options.

Purpose of the Study:

  • To compare the efficacy of ultrasound (US)-guided subacromial bursa injection (SBI) and US-guided lavage in patients with calcific tendinitis.
  • To evaluate clinical and ultrasonographic outcomes of both treatment modalities.

Main Methods:

  • A double-blind, randomized controlled study included 31 patients with calcific tendinitis.
  • One group received US-guided lavage and SBI; the other received US-guided SBI only.
  • Clinical outcomes (CSS, SDQ, QuickDASH, NRS pain) and ultrasonographic findings were assessed at baseline and one month.
Keywords:
Calcific tendinitisbarbotagelavageshoulder painultrasound

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Main Results:

  • Both groups showed significant clinical improvements in shoulder scores (CSS, SDQ, QuickDASH).
  • Lavage group demonstrated a significant reduction in resting pain and calcific deposit size on ultrasound.
  • No significant differences were observed between groups for movement or night pain, or for deposit shape and power Doppler activity.

Conclusions:

  • Both US-guided lavage and SBI provide early clinical improvement for calcific tendinitis.
  • Lavage is more effective in reducing resting pain and improving ultrasonographic features like deposit size and acoustic shadowing.
  • US-guided lavage presents a potentially superior option for managing calcific tendinitis.