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33rd Annual Scientific Meeting proceedings

Stream:   |   Session:
Date/Time: 30-11--0001 (00:00 - 00:00)   |   Location:
A survey on the different diagnostic and treatment techniques for supraspinatus tendinopathy among specialist surgeons and rehabilitators
Alves JC1, Vellemans A2, Lafuente MP*3
1Divisão de Medicina Veterinária, Guarda Nacional Republicana (GNR), Lisbon, Portugal, 2Centre Hospitalier Vétérinaire AniCura Nordvet, La Madeleine, France, 3Universidad Internacional de La Rioja (UNIR), Ciencias de la Salud, Logroño, Spain.

Introduction: Supraspinatus tendinopathy (ST) is frequently challenging to diagnose and treat.

Objectives: To determine the different techniques used by Specialists in Surgery and Sports Medicine and Rehabilitation (SMR), in the diagnosis and treatment of ST.

Materials and methods: An online survey was sent to ACVS/ECVS and ACVSMR/ECVSMR specialists. Information on patient signalment, clinical signs, diagnostics, treatment, and prognosis were recorded. The Kruskal-Wallis test was used to compare results between different specialties. Multiple regression analysis was performed to predict some selected responses. P=0,05.

Results: 107 responses were received, which showed the typical patient with ST was 2-6 years old, (74,7%), athletic (53,9%), large breed (Labrador retriever, Border collie), and had unilateral lameness. Pain was found on tendon palpation (62,7%), and on shoulder flexion (62,7%) and mobilization (50,7%). Ultrasound was the most commonly used diagnostic technique (75,3%). First treatment option for SMR specialists included rehabilitation followed by extracorporeal shockwave therapy, while surgeons preferred NSAIDs followed by rehabilitation. If the first therapy failed, significantly more surgeons (56.6%) than SMR specialists (33.3%) would choose surgical treatment (p=0,02).  Surgical techniques performed varied among respondents, with 61,4% performing shoulder arthroscopy, 42,1% debulking the supraspinatus tendon medially, and 36,8% making longitudinal incisions. Management of ST was reported to have good to excellent results (86,8%) and recovery was most commonly achieved after 3-6 months (64,7%).

Conclusions: These results provide information on the approaches undertaken by different specialists, differing mainly on treatment options.

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