title: Short-Term Outcome After Arthroscopic Bursectomy Debridement of Rotator Cuff Calcific Tendonopathy With and Without Subacromial Decompression: A Prospective Randomized Controlled Trial.
abstract: OBJECTIVE
  To conduct a prospective randomized controlled trial to assess whether arthroscopic bursectomy and debridement of the calcific deposit, with or without subacromial decompression, influences the functional outcome of patients with calcific tendonitis.
  
  
  METHODS
  During a 4-year period, 80 patients were recruited who presented to the study center with refractory calcific tendonitis of the shoulder. Forty patients were randomized to have a subacromial decompression, and 40 were randomized not to have a subacromial decompression in combination with bursectomy and arthroscopic removal of the calcific deposit. All surgery was performed by one surgeon who was blinded to the functional assessment of the patients. Patient demographics, body mass index (BMI), and length of symptoms were recorded at the time of randomization. Patients were asked to complete a pain visual analog score (VAS), short form (SF-12), disability arm shoulder and hand (DASH), and Constant score (CS) preoperatively and at 1 year postoperatively.
  
  
  RESULTS
  There were 21 male and 59 female patients with a mean age of 49 (range, 32 to 75) years. The mean time of follow-up was 13 (range, 12 to 15) months. There were no significant differences in gender, age, BMI, length of symptoms, or preoperative outcome measures assessed between the groups. Overall, for both groups there was a significant improvement in the pain VAS (P < .001), DASH (P < .001), and CS (P < .001) at 1 year compared with preoperative scores. There were no significant differences demonstrated between the groups for improvement in the pain VAS (P = .57), DASH (P = .93), SF-12 physical component score (P = .58), or CS (P = .27) at 1 year.
  
  
  CONCLUSIONS
  This study has demonstrated that the short-term functional outcome of patients with calcific tendonitis after arthroscopic bursectomy and debridement of the calcific deposit is not influenced if performed in combination with or without a subacromial decompression.
  
  
  METHODS
  Level I therapeutic study, randomized controlled trial.
authors.affiliation: Royal Infirmary of Edinburgh, Little France, United Kingdom. Electronic address: nickclement@doctors.org.uk.
authors.forename: Nicholas D
authors.initials: ND
authors.lastname: Clement
authors.affiliation: Wrightington Hospital, Appley Bridge, Wigan, United Kingdom.
authors.forename: Adam C
authors.initials: AC
authors.lastname: Watts
authors.affiliation: Shoulder Unit, Royal Infirmary of Edinburgh, Little France, United Kingdom.
authors.forename: Christine
authors.initials: C
authors.lastname: Phillips
authors.affiliation: Shoulder Unit, Royal Infirmary of Edinburgh, Little France, United Kingdom.
authors.forename: Julie M
authors.initials: JM
authors.lastname: McBirnie
mesh_terms: D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000379:methods*; D002061:Bursa, Synovial / Q000601:surgery*; D002114:Calcinosis / Q000601:surgery; D003646:Debridement; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D020127:Recovery of Function; D017006:Rotator Cuff / Q000601:surgery*; D052256:Tendinopathy / Q000601:surgery*