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Subacromial injection

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https://www.readbyqxmd.com/read/28717609/pre-operative-corticosteroid-injections-improve-functional-outcomes-in-patients-undergoing-arthroscopic-repair-of-high-grade-partial-thickness-rotator-cuff-tears
#1
Nicholas K Donohue, Anthony R Prisco, Steven I Grindel
BACKGROUND: Subacromial corticosteroid injections (CSI's) are a common non-surgical treatment for rotator cuff tears. Few studies have assessed the effects of pre-operative CSI's on postoperative functional outcomes. METHODS: A retrospective analysis was conducted of 132 patients with high-grade, partial-thickness rotator cuff tears (PTRCT's). The subjects were divided into two groups based on whether they received a CSI or not. The CSI group was further divided into three subgroups based on when they received a pre-operative injection: 0-3 months, 3-6 months, >6 months before surgery...
January 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28689827/subacromial-corticosteroid-injections-transiently-decrease-suture-anchor-pullout-strength-biomechanical-studies-in-rats
#2
Oleg Dolkart, Ofir Chechik, Assaf Bivas, Tamar Brosh, Michael Drexler, Zachary Weinerman, Eran Maman
BACKGROUND: Arthroscopic rotator cuff (RC) repair incorporates suture anchors to secure torn RC tendons to the greater tuberosity (GT) bone. RC repair strength depends on the anchor-bone interface and on the quality of the GT. We evaluated the effect of single and multiple corticosteroid injections on the pullout strength of suture anchors. METHODS: Fifty rats were divided into those receiving saline solution injection (control group), a single methylprednisolone acetate (MTA) injection (MTA1 group), or 3 once-weekly MTA injections (MTA3 group)...
July 6, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28638243/subacromial-anesthetics-increase-proprioceptive-deficit-in-the-shoulder-and-elbow-in-patients-with-subacromial-impingement-syndrome
#3
Lucas R Ettinger, Matthew Shapiro, Andrew Karduna
Shoulder proprioception gives information regarding arm joint position and movement direction. Several studies have investigated shoulder proprioceptive acuity in patients with subacromial impingement syndrome (SIS); however, differences in protocols and between-subjects designs have limited scientific inferences regarding proprioception and SIS. We aimed to determine within-subject differences in shoulder and elbow proprioceptive acuity in 17 patients with stage 2 SIS following treatment of a local anesthetic injection...
2017: Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28604191/establishing-a-new-appropriate-intramuscular-injection-site-in-the-deltoid-muscle
#4
Yukari Nakajima, Kanae Mukai, Kana Takaoka, Toshiko Hirose, Keiko Morishita, Takuya Yamamoto, Yuka Yoshida, Tamae Urai, Toshio Nakatani
It is becoming increasingly important for clinicians to identify a safer intramuscular (IM) injection site in the deltoid muscle because of possible complications following the vaccine administration of IM injections. We herein examined 4 original IM sites located on the perpendicular line through the mid-acromion to establish a safer IM injection site. Thirty healthy volunteers participated in this study and the distances from our 4 IM sites to some anatomical landmarks on their left arms were measured. Ultrasonography (US) was also performed to measure the thickness of the deltoid muscle and identify the posterior circumflex humeral artery (PCHA) along the course of the axillary nerve...
June 12, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28585109/efficacy-and-tolerability-of-peritendinous-hyaluronic-acid-in-patients-with-supraspinatus-tendinopathy-a-multicenter-randomized-controlled-trial
#5
César Flores, Ramón Balius, Guillermo Álvarez, Miguel A Buil, Luisa Varela, Carlos Cano, Joaquín Casariego
BACKGROUND: Physical therapy and peritendinous hyaluronic acid (HA) injections have both shown promising results in the treatment of shoulder tendinopathies. However, the superiority of treatment combining physical therapy and HA is unclear. METHODS: Patients with ultrasound-confirmed supraspinatus tendinopathy were randomized to receive either physical therapy + subacromial HA injections or physical therapy only. Treatment efficacy was assessed using a Visual Analog Scale (VAS) for pain and an Activities of Daily Living (ADL) scale...
December 2017: Sports Medicine—Open
https://www.readbyqxmd.com/read/28567426/treatment-of-subacromial-impingement-syndrome-platelet-rich-plasma-or-exercise-therapy-a-randomized-controlled-trial
#6
Parisa Nejati, Armita Ghahremaninia, Farrokh Naderi, Safoora Gharibzadeh, Ali Mazaherinezhad
BACKGROUND: Subacromial impingement syndrome (SAIS) is the most common disorder of the shoulder. The evidence for the effectiveness of treatment options is inconclusive and limited. Therefore, there is a need for more evidence in this regard, particularly for long-term outcomes. HYPOTHESIS: Platelet-rich plasma (PRP) would be an effective method in treating subacromial impingement. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28376756/kalk-study-ultrasound-guided-needling-and-lavage-barbotage-with-steroid-injection-versus-sham-barbotage-with-and-without-steroid-injection-protocol-for-a-randomized-double-blinded-controlled-multicenter-study
#7
Stefan Moosmayer, Ole Marius Ekeberg, Hanna Bjørnsson Hallgren, Ingar Heier, Synnøve Kvalheim, Jesper Blomquist, Are Hugo Pripp, Nils Gunnar Juel, Stein Harald Kjellevold, Jens Ivar Brox
BACKGROUND: For the treatment of calcific tendinitis of the shoulder a variety of treatment regimes exist. Commonly used treatment measures include medication with oral analgesics, corticosteroid injections, extracorporeal shockwave therapy, ultrasound guided needling and lavage, and surgical treatment. Earlier cohort studies suggest that patients may benefit from these treatments, but there are few randomized studies and conflicting evidence about the effectiveness of the various treatments...
April 4, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28255657/more-histologic-and-ultrastructural-degenerative-signs-in-the-subscapularis-tendon-and-the-joint-capsule-in-male-patients-with-shoulder-impingement
#8
Stefanos Farfaras, Lars Erik Ejerhed, Erling K Hallström, Kjell Hultenby, Khaled Meknas, Tomas Movin, Nikos Papadogiannakis, Jüri-Toomas Kartus
PURPOSE: The purpose of the present study was to analyze biopsy samples from the subscapularis tendon and from the joint capsule from male patients with shoulder impingement syndrome (SAIS) and compare them with samples from male patients with post-traumatic recurrent shoulder instability. The hypothesis of the study was that patients with SAIS would have more histologic and ultrastructural degenerative changes in their subscapularis tendon and joint capsule than patients with post-traumatic recurrent shoulder instability...
March 2, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28245972/static-and-dynamic-shoulder-imaging-to-predict-initial-effectiveness-and-recurrence-after-ultrasound-guided-subacromial-corticosteroid-injections
#9
Ke-Vin Chang, Wei-Ting Wu, Der-Sheng Han, Levent Özçakar
OBJECTIVE: To explore factors contributing to initial effectiveness and recurrence after ultrasound (US)-guided subacromial corticosteroid injections by assessing clinical measurements as well as static and dynamic shoulder US images. DESIGN: Retrospective cohort study. SETTING: Rehabilitation outpatient clinic. PARTICIPANTS: Adults with shoulder pain referred for injection therapy. INTERVENTIONS: US-guided subacromial corticosteroid injection...
February 25, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28185130/frequency-of-shoulder-corticosteroid-injections-for-pain-and-stiffness-after-shoulder-surgery-and-their-potential-to-enhance-outcomes-with-physiotherapy-a-retrospective-study
#10
John G Skedros, Micheal G Adondakis, Alex N Knight, Michael B Pilkington
INTRODUCTION: What is the rate of injecting patients with shoulder corticosteroid injections to alleviate excessive stiffness and pain within 6 months after shoulder surgery? METHODS: Retrospective 10-year review of a shoulder surgeon's practice. Participants included 754 patients who had 945 non-arthroplasty shoulder surgeries. Outcome measures included the rate of injections, diagnoses, patient characteristics, and efficacy via questionnaire. RESULTS: Approximately one in five patients received a subacromial and/or glenohumeral corticosteroid injection...
June 2017: Pain and Therapy
https://www.readbyqxmd.com/read/28142344/thawing-frozen-shoulder-by-steroid-injection
#11
Narendran Pushpasekaran, Narender Kumar, R K Chopra, Diganta Borah, Sumit Arora
BACKGROUND: Frozen shoulder is not an uncommon disorder, and steroid injection into the glenohumeral (GH) joint is one of the most well-known approaches for the frozen shoulder. However, their results have been varied with beneficial effects or no additional advantage. With the understanding about the pathological changes taking place in frozen shoulder and the biomechanics involved, we wanted to evaluate the short- and long-term efficacy of steroid injection by a novel three-site (NTS) injection technique and compare it with the single-site injection (SSI)...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28076692/the-effects-of-ultrasound-guided-corticosteroid-injection-for-the-treatment-of-hemiplegic-shoulder-pain-on-depression-and-anxiety-in-patients-with-chronic-stroke
#12
Min Cheol Chang
PURPOSE: We attempted to investigate whether ultrasound (US)-guided intra-articular or subacromial bursa corticosteroid injections can potentially influence the severity of depression and anxiety in patients with chronic stroke with hemiplegic shoulder pain (HSP). METHODS: Thirty patients with chronic stroke with HSP received US-guided corticosteroid injections. Numeric rating scale (NRS) scores, passive shoulder range of motion (ROM), Beck Depression Inventory (BDI) scores and Spielberger State-Trait Anxiety Inventory (STAI) scores were evaluated before the injection, and one and two months after the injection...
January 25, 2017: International Journal of Neuroscience
https://www.readbyqxmd.com/read/28034721/relation-between-subacromial-bursitis-on-ultrasonography-and-efficacy-of-subacromial-corticosteroid-injection-in-rotator-cuff-disease-a-prospective-comparison-study
#13
COMPARATIVE STUDY
Doo-Hyung Lee, Ji Yeon Hong, Michael Young Lee, Kyu-Sung Kwack, Seung-Hyun Yoon
OBJECTIVE: To evaluate the correlations between subacromial bursitis (bursal thickening and effusion) on ultrasonography and its response to subacromial corticosteroid injection in patients with rotator cuff disease. DESIGN: Prospective, longitudinal comparison study. SETTING: University-affiliated tertiary care hospital. PARTICIPANTS: Patients with rotator cuff disease (N=69) were classified into 3 groups based on ultrasonographic findings; (1) normative bursa group (group 1, n=23): bursa and effusion thickness <1mm; (2) bursa thickening group (group 2, n=22): bursa thickness >2mm and effusion thickness <1mm; and (3) bursa effusion group (group 3, n=24): bursa thickness <1mm and effusion thickness >2mm...
May 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27936246/diagnostic-accuracy-of-clinical-examination-and-imaging-findings-for-identifying-subacromial-pain
#14
Angela Cadogan, Peter J McNair, Mark Laslett, Wayne A Hing
BACKGROUND: The diagnosis of subacromial pathology is limited by the poor accuracy of clinical tests for specific pathologies. The aim of this study was to estimate the diagnostic accuracy of clinical examination and imaging features for identifying subacromial pain (SAP) defined by a positive response to diagnostic injection, and to evaluate the influence of imaging findings on the clinical diagnosis of SAP. METHODS AND FINDINGS: In a prospective, diagnostic accuracy design, 208 consecutive patients presenting to their primary healthcare practitioner for the first time with a new episode of shoulder pain were recruited...
2016: PloS One
https://www.readbyqxmd.com/read/27930553/the-effects-of-hyaluronic-acid-on-hemiplegic-shoulder-injury-and-pain-in-patients-with-subacute-stroke-a-randomized-controlled-pilot-study
#15
RANDOMIZED CONTROLLED TRIAL
Yu-Chi Huang, Chau-Peng Leong, Lin Wang, Mei-Ju Chen, Chien-Yi Chuang, Mei-Yun Liaw, Lin-Yi Wang
BACKGROUND: Hemiplegic shoulder pain (HSP) is one of the most common comorbidities in stroke patients with flaccid shoulders. The pain limits functional motor recovery and affects the activities of daily living after acute stroke. This study investigated the effects of hyaluronic acid (HA) injection on pain reduction and motor function in subacute stroke patients with HSP and injury. METHODS: A randomized, double-blinded controlled trial was conducted in a medical center...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27909786/calcific-tendinopathy-of-the-shoulder-with-intraosseous-extension-outcomes-of-ultrasound-guided-percutaneous-irrigation
#16
Michail E Klontzas, Evangelia E Vassalou, Apostolos H Karantanas
OBJECTIVES: Rotator cuff calcific tendinopathy (RCCT) with intraosseous extension is a rare complication of tendinous and peritendinous involvement. The purpose of our study is to evaluate the outcome of ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT) in patients with intraosseous involvement. MATERIALS AND METHODS: From January 2011 to June 2014, patients with a clinical and imaging diagnosis of RCCT were prospectively categorised in two groups based on imaging findings: group A (10 patients) with intraosseous RCCT and group B (control group 35 patients) without osseous involvement...
February 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/27872990/blood-supply-of-the-subacromial-bursa-and-rotator-cuff-tendons-on-the-bursal-side
#17
Elle Põldoja, Madis Rahu, Kristo Kask, Imke Weyers, Ivo Kolts
PURPOSE: Vascularity of the subacromial bursa and rotator cuff tendons is key factors in the pathogenesis of subacromial bursitis and impingement syndrome, rotator cuff tendinitis, and rotator cuff tears. The purpose of this study was to investigate and describe blood supply to the cranial and caudal parts of the subacromial bursa and the vascularity of the rotator cuff tendons on the bursal side. METHODS: Fourteen fresh cadaveric shoulders from six females and eight males with a mean age of 71...
November 21, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27751718/the-influence-of-induced-shoulder-muscle-pain-on-rotator-cuff-and-scapulothoracic-muscle-activity-during-elevation-of-the-arm
#18
Birgit Castelein, Ann Cools, Thierry Parlevliet, Barbara Cagnie
BACKGROUND: Altered recruitment of rotator cuff and scapulothoracic muscles has been identified in patients with subacromial impingement syndrome. To date, however, the cause-consequence relationship between pain and altered muscle recruitment has not been fully unraveled. METHODS: The effect of experimental shoulder pain induced by injection of hypertonic saline in the supraspinatus on the activity of the supraspinatus, infraspinatus, subscapularis, trapezius, and serratus anterior activity was investigated during the performance of an elevation task by use of muscle functional magnetic resonance imaging in 25 healthy individuals...
March 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27744222/agreement-between-a-physiotherapist-and-an-orthopaedic-surgeon-regarding-management-and-prescription-of-corticosteroid-injection-for-patients-with-shoulder-pain
#19
Darryn Marks, Tracy Comans, Michael Thomas, Shu Kay Ng, Shaun O'Leary, Philip G Conaghan, Paul A Scuffham, Leanne Bisset
BACKGROUND: Physiotherapists increasingly manage shoulder referrals in place of orthopaedic doctors. Better understanding the agreement between these professionals will help inform the safety, quality and potential costs of these care models. OBJECTIVE: To establish the level of agreement between a physiotherapist and an orthopaedic surgeon regarding diagnosis, management and corticosteroid injection, in a representative sample of orthopaedic shoulder referrals...
December 2016: Manual Therapy
https://www.readbyqxmd.com/read/27729319/pain-management-after-outpatient-shoulder-arthroscopy-a-systematic-review-of-randomized-controlled-trials
#20
William J Warrender, Usman Ali M Syed, Sommer Hammoud, William Emper, Michael G Ciccotti, Joseph A Abboud, Kevin B Freedman
BACKGROUND: Effective postoperative pain management after shoulder arthroscopy is a critical component to recovery, rehabilitation, and patient satisfaction. PURPOSE: This systematic review provides a comprehensive overview of level 1 and level 2 evidence regarding postoperative pain management for outpatient arthroscopic shoulder surgery. STUDY DESIGN: Systematic review. METHODS: We performed a systematic review of the various modalities reported in the literature for postoperative pain control after outpatient shoulder arthroscopy and analyzed their outcomes...
June 2017: American Journal of Sports Medicine
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