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Correspondence
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Volume 341:1237 October 14, 1999 Number 16
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Ultrasound Therapy for Calcific Tendinitis of the Shoulder

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To the Editor: Ebenbichler and colleagues (May 20 issue)1 conclude that "in patients with symptomatic calcific tendinitis of the shoulder, ultrasound treatment helps resolve calcifications and is associated with short-term clinical improvement." The primary outcome measure was changes from base line in the calcium deposits on radiography. Secondary outcomes included scores on a scale assessing the degree of pain perceived by the patients and scores on a scale assessing the patients' perceptions of their quality of life before and after treatment. Although the change in calcium deposits can be judged objectively, scores are subjective, and their validity can be questioned.

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