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| ID | Type | Description | Link |
|---|---|---|---|
| ABR 47402 | Other Identifier | Medical Ethical Committee Twente |
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Needle aspiration of calcific deposits (NACD ) is the treatment of choice for calcific tendinitis which does not respond to conservative treatment. NACD is effective in approximately 70% of the patients.When NACD is not effective, surgery is often the only treatment that remains.Surgery, however, is discouraged by th e Dutch guidelines for diagnosing and treating patients with subacromial pain syndrome.Therefore,both patients and the doctors treating those patients will benefit from a more effective minimal invasive treatment for calcific tendinitis.Injection of platelet-rich plasma (PRP) might, considering its positive effect on tissue repair, be a possible solution here.Previous research investigating the effects of PRP on other tendinopathies did, however, show controversial results. The aim of this double-blind randomized controlled trial is to investigate the effect of the adjuvant application of PRP after NACD on pain reduction ,recovery of shoulder function, tendon recovery,resorption of calcific deposits, the percentage of patients with persistent complaints and quality of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PRP group | Experimental | PRP during barbotage |
|
| Control group | Other | Regular barbotage |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PRP | Other | platelet enriched autologous blood plasma |
| |
| Control |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Rating Scale (NRS) pain | Score to assess the amount of pain | 6 months post barbotage |
| Measure | Description | Time Frame |
|---|---|---|
| Constant-Murley Score (CMS) | To assess shoulder function | 6 weeks, 3 - 6- 12- 25 months post barbatoge |
| Quality of Life (EQ-5D) | score to assess the quality of life |
| Measure | Description | Time Frame |
|---|---|---|
| Tendon recovery | to visualize tendon recovery by ultrasound | 6 weeks, 3-6-12-24 months post barbotage |
| calcifications | size of calcifications (X-ray) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Edwin Ooms, PhD | OCON | Study Director |
| Rianne Huis in 't Veld, PhD | OCON | Study Director |
| Bart Oudelaar, MSc | OCON | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Orthopedisch Centrum Oost Nederland/ZGT | Hengelo | Overijssel | 7550 AM | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33566629 | Derived | Oudelaar BW, Huis In 't Veld R, Ooms EM, Schepers-Bok R, Nelissen RGHH, Vochteloo AJH. Efficacy of Adjuvant Application of Platelet-Rich Plasma After Needle Aspiration of Calcific Deposits for the Treatment of Rotator Cuff Calcific Tendinitis: A Double-Blinded, Randomized Controlled Trial With 2-Year Follow-up. Am J Sports Med. 2021 Mar;49(4):873-882. doi: 10.1177/0363546520987579. Epub 2021 Feb 10. |
| Label | URL |
|---|---|
| hospital's url | View source |
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| Other |
Regular barbotage/care as usual |
|
| 6 weeks, 3- 6- 12- 24 months post barbotage |
| baseline, 3 + 12 months post barbotage |
| plated plasma analysis | trombocytes analysis of PRP blood | baseline |