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Subacromial injection

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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
#1
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
#2
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...
December 1, 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27872990/blood-supply-of-the-subacromial-bursa-and-rotator-cuff-tendons-on-the-bursal-side
#3
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
#4
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...
October 14, 2016: 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
#5
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...
October 5, 2016: Manual Therapy
https://www.readbyqxmd.com/read/27729319/pain-management-after-outpatient-shoulder-arthroscopy-a-systematic-review-of-randomized-controlled-trials
#6
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...
October 11, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27682276/empty-can-and-drop-arm-tests-for-cuff-rupture%C3%A2-improved-specificity-after-subacromial-injection
#7
L I F Penning, R A De Bie, P Leffers, R E Weijers, G H I M Walenkamp
: Shoulder disorders are common in the general population : they occur in about 25 of every 1000 patients per year. A rather large majority are caused by cuff disorders. Differentiating between impingement and cuff rupture is essential to adequate treatment. Clinical tests have been developed, but their accuracy is limited. This study was performed to improve clinical accuracy by combining single tests and adding a subacromial injection. We postulated that the empty can and drop arm tests would result in higher sensitivity and specificity after subacromial injection...
August 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/27670388/the-comparative-efficacy-of-kinesio-taping-and-local-injection-therapy-in-patients-with-subacromial-impingement-syndrome
#8
Hamit Göksu, Figen Tuncay, Pınar Borman
OBJECTIVE: The aim of this study was to compare the therapeutic effects of kinesio taping (KT) and local subacromial injection in patients with subacromial impingement, syndrome (SIS) with regard to pain, range of motion (ROM) and disability. METHODS: Sixty-one patients (48 females and 13 males; mean age: 43.04 ± 6.31, years) with SIS were enrolled into the study. The patients were randomized into two treatment groups receiving either a single corticosteroid and local anesthetic (LA) injection, or kinesio taping performed three times by intervals of 3 day...
September 23, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27631987/increasing-capacity-for-the-treatment-of-common-musculoskeletal-problems-a-non-inferiority-rct-and-economic-analysis-of-corticosteroid-injection-for-shoulder-pain-comparing-a-physiotherapist-and-orthopaedic-surgeon
#9
Darryn Marks, Leanne Bisset, Tracy Comans, Michael Thomas, Shu Kay Ng, Shaun O'Leary, Philip G Conaghan, Paul A Scuffham
BACKGROUND: Role substitution is a strategy employed to assist health services manage the growing demand for musculoskeletal care. Corticosteroid injection is a common treatment in this population but the efficacy of its prescription and delivery by physiotherapists has not been established against orthopaedic standards. This paper investigates whether corticosteroid injection given by a physiotherapist for shoulder pain is as clinically and cost effective as that from an orthopaedic surgeon...
2016: PloS One
https://www.readbyqxmd.com/read/27617794/ultrasound-guided-subacromial-subdeltoid-bursa-steroid-injections-retrospective-comparison-of-two-approaches-and-the-assessment-of-impingement-tests-to-predict-efficacy
#10
H Chen
Objective: Compare the efficacy of two approaches to ultrasound-guided subacromial-subdeltoid bursa injections and to assess whether shoulder impingement tests acts as a predictive factor for efficacy of the injection. Design: Retrospective chart review and telephone survey of 40 patients who received ultrasound-guided subacromial-subdeltoid injections using 4cc 1% lidocaine and 80 mg methylprednisolone from January 2011 to December 2011. Outcome measures included: number of positive shoulder impingement tests (Neer, Hawkin, Yocum), pain level (10-Point VAS) and duration of pain relief (< 4 weeks, 4-12 weeks, > 12 weeks)...
October 16, 2015: West Indian Medical Journal
https://www.readbyqxmd.com/read/27574284/letter-to-the-editor-platelet-rich-plasma-versus-steroid-injection-for-subacromial-impingement-syndrome
#11
T M Duymus, L Adiyeke, S Tuna
No abstract text is available yet for this article.
August 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/27570870/corticosteroid-injection-for-adhesive-capsulitis-in-primary-care-a-systematic-review-of-randomised-clinical-trials
#12
Kim Hwee Koh
Adhesive capsulitis is a common cause of shoulder pain and limited movement. The objectives of this review are to assess the efficacy and safety of corticosteroid injections for adhesive capsulitis and to evaluate the optimum dose and anatomical site of injections. PubMed and CENTRAL databases were searched for randomised trials and a total of ten trials were included. Results revealed that corticosteroid injection is superior to placebo and physiotherapy in the short-term (up to 12 weeks). There was no difference in outcomes between corticosteroid injection and oral nonsteroidal anti-inflammatory drugs at 24 weeks...
August 29, 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27554465/extracorporeal-shock-wave-therapy-ultrasound-guided-percutaneous-lavage-corticosteroid-injection-and-combined-treatment-for-the-treatment-of-rotator-cuff-calcific-tendinopathy-a-network-meta-analysis-of-rcts
#13
Alisara Arirachakaran, Manusuk Boonard, Sarunpong Yamaphai, Akom Prommahachai, Suraphol Kesprayura, Jatupon Kongtharvonskul
: Treatment of calcific tendinitis using extracorporeal shock wave therapy (ESWT), ultrasound-guided percutaneous lavage (UGPL or barbotage), subacromial corticosteroid injection (SAI) and combined treatment is still controversial. This systematic review and meta-regression aimed to compare clinical outcomes between treatments. Relevant RCTs were identified using PubMed and Scopus search engines to date of September 23, 2015. Seven of 920 studies identified were eligible. Compared to the other treatments, the results of this study indicate that ESWT significantly improved CMS and VAS when compared to placebo...
August 23, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27544678/subacromial-injection-of-autologous-platelet-rich-plasma-versus-corticosteroid-for-the-treatment-of-symptomatic-partial-rotator-cuff-tears
#14
Ahmed Shams, Mohamed El-Sayed, Osama Gamal, Waled Ewes
OBJECTIVE: Rotator cuff tears are one of the most common causes of chronic shoulder pain and disability. They significantly affect the quality of life. Reduced pain and improved function are the goals of conventional therapy, which includes relative rest, pain therapy, physical therapy, corticosteroid injections and surgical intervention. Tendons have a relative avascular nature; hence, their regenerative potential is limited. There is some clinical evidence that the application of autologous platelets may help to revascularize the area of injury in rotator cuff pathologies...
August 20, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27496352/initial-medical-management-of-rotator-cuff-tears-a-demographic-analysis-of-surgical-and-nonsurgical-treatment-in-the-united-states-medicare-population
#15
Dax T Varkey, Brendan M Patterson, R Alexander Creighton, Jeffrey T Spang, Ganesh V Kamath
BACKGROUND: Rotator cuff tears have a lifetime incidence between 25% and 40% in the United States, but optimum treatment strategies and protocol have not yet been widely accepted. This study evaluated the proportions of patients treated with nonoperative and operative modalities and how this proportion has changed during an 8-year period (2005-2012) among patients with Medicare. METHODS: Using the PearlDiver patient record database, we identified Medicare patients having been diagnosed with a rotator cuff tear...
August 2, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27469590/corticosteroid-injections-give-small-and-transient-pain-relief-in-rotator-cuff-tendinosis-a-meta-analysis
#16
Amin Mohamadi, Jimmy J Chan, Femke M A P Claessen, David Ring, Neal C Chen
BACKGROUND: The ability of injection of corticosteroids into the subacromial space to relieve pain ascribed to rotator cuff tendinosis is debated. The number of patients who have an injection before one gets relief beyond what a placebo provides is uncertain. QUESTIONS/PURPOSES: We asked: (1) Do corticosteroid injections reduce pain in patients with rotator cuff tendinosis 3 months after injection, and if so, what is the number needed to treat (NNT)? (2) Are multiple injections better than one single injection with respect to pain reduction at 3 months? METHODS: We systematically searched seven electronic databases for randomized controlled trials of corticosteroid injection for rotator cuff tendinosis compared with a placebo injection...
July 28, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27468823/lornoxicam-injection-is-inferior-to-betamethasone-in-the-treatment-of-subacromial-impingement-syndrome-a-prospective-randomized-study-of-functional-outcomes
#17
M Aksakal, C Ermutlu, G Özkaya, Y Özkan
BACKGROUND: Subacromial impingement syndrome (SIS) is one of the most frequent shoulder pathologies. Initial treatment is conservative. Subacromial injection of drugs achieves a high concentration at the pathologic site with less drug use and fewer systemic side effects. Glucocorticoids are most frequently injected. One concern with steroid use is the wide array of potential systemic and local complications. Nonsteroidal anti-inflammatory drugs (NSAIDs) are also peripherally acting and can be used locally...
July 28, 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27468666/ultrasound-guided-interventional-procedures-about-the-shoulder-anatomy-indications-and-techniques
#18
REVIEW
Adam M Pourcho, Sean W Colio, Mederic M Hall
Chronic and acute shoulder pain and dysfunction are common complaints among patients. Shoulder pain may be the result of abnormality involving the rotator cuff, subacromial-subdeltoid bursa, biceps tendon, glenoid labrum, glenohumeral joint, acromioclavicular joint, sternoclavicular joint, or glenohumeral joint capsule. Ultrasound-guided (USG) procedures of the shoulder are well established for interventional management. Ultrasound provides the advantages of excellent soft tissue resolution, injection accuracy, low cost, accessibility, portability, lack of ionizing radiation, and the ability to perform real-time image-guided procedures...
August 2016: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/27434188/corticosteroid-injections-for-adhesive-capsulitis-a-review
#19
Ryan C Xiao, Kempland C Walley, Joseph P DeAngelis, Arun J Ramappa
OBJECTIVE: Adhesive capsulitis is a self-limiting condition in a majority of patients and is often treated nonoperatively. However, symptoms may take 2 to 3 years to resolve fully. A small, but significant, portion of patients require surgical intervention. The purpose of this systematic review is to evaluate the efficacy of corticosteroid injections for the treatment of adhesive capsulitis (AC). DATA SOURCES: A review of articles indexed by the United States National Library of Medicine was conducted by querying the PubMed database for studies involving participants with AC, frozen shoulder, stiff shoulder, or painful shoulder...
July 18, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27283591/electrotherapy-modalities-for-rotator-cuff-disease
#20
REVIEW
Matthew J Page, Sally Green, Marshall A Mrocki, Stephen J Surace, Jessica Deitch, Brodwen McBain, Nicolette Lyttle, Rachelle Buchbinder
BACKGROUND: Management of rotator cuff disease may include use of electrotherapy modalities (also known as electrophysical agents), which aim to reduce pain and improve function via an increase in energy (electrical, sound, light, or thermal) into the body. Examples include therapeutic ultrasound, low-level laser therapy (LLLT), transcutaneous electrical nerve stimulation (TENS), and pulsed electromagnetic field therapy (PEMF). These modalities are usually delivered as components of a physical therapy intervention...
June 10, 2016: Cochrane Database of Systematic Reviews
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