Corticoid Injection for Subacromial Impingement Syndrome Treatment

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Manh Nguyen Huu
Dung Tran Trung*
Thanh Ma Ngoc
Quyet Tran
Trinh Le Khanh
Hanh Tran Thi My
Dat Tran Tien

Abstract

Objective: Evaluate the treatment result of corticoid injection for subacromial impingement syndrome
Patients and method: 30 patients with shoulder pain for at least 3 months, diagnosed subacromial impingement syndrome, excluded rotator cuff tear and labral lesion. A single injection into subacromial space with Methylprednisolone acetate 40 mg. Evaluate the result with VAS and Constant score.
Results: Pre-injection average VAS is 8,4 ± 1, 25; Post-injection VAS is 2,6 ± 1,12; Pre-injection average Constant score is 44,1 ± 9,32. Post-injection average Constant score is 61,2 ± 10,34. The difference between pre-injection and post-injection results is significant with p < 0,05.
Conclusion: Corticoid to subacromial space results in improving symptoms of pain and functional shoulder joint.

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Article Details

Huu, M. N., Trung, D. T., Ngoc, T. M., Tran, Q., Khanh, T. L., My, H. T. T., & Tien, D. T. (2017). Corticoid Injection for Subacromial Impingement Syndrome Treatment. Global Journal of Medical and Clinical Case Reports, 4(4), 080–082. https://doi.org/10.17352/2455-5282.000055
Case Reports

Copyright (c) 2017 Huu MN, et al.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Neer CS II (1972) Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg 54: 41-50. Link: https://goo.gl/Lh7yJq

Matsen AF III, Arntz CT, Lippitt SB (1998) Rotator cuff. In: Rockwood CA Jr, Matsen AF III, editors. The shoulder. 2nd ed. Philadelphia: W. B. Saunders 755-840

Plafki C, Steffen R, Willburger RE, Wittenberg RH (2000) Local anaesthetic injection with and without corticos- teroids for subacromial impingement syndrome. Int Orthop 24: 40-42. Link: https://goo.gl/ZYdHB3

Blair B, Rokito AS, Cuomo F, Jarolem K, Zuckerman JD (1996) Efficacy of injections of corticosteroids for subac- romial impingement syndrome. J Bone Joint Surg 78: 1685-1689. Link: https://goo.gl/sn4aJM

White RH, Paull DM, Fleming KW (1986) Rotator cuff tendinitis: comparison of subacromial injection of a long acting corticosteroid versus oral indomethacin therapy. J Rheumatol 13: 608-613. Link: https://goo.gl/ss6qVm

Buchbinder R, Green S, Youd JM (2003) Corticosteroid injec- tions for shoulder pain. Cochrane Database Syst Rev. Link: https://goo.gl/TT3EnK

Esenyel CZ, Esenyel M, Yesiltepe R, Ayanoglu S, Bulbul M, et al. (2003) The correlation between the accuracy of steroid injections and subsequent shoulder pain and function in subacromial impinge- ment syndrome. Acta Orthop Traumatol Turc 37: 41-45. Link: https://goo.gl/w4sLQS

Yamakado K (2002) The targeting accuracy of subacromial injection to the shoulder: an arthrographic evaluation. Arthroscopy18: 887-891. Link: https://goo.gl/VxGPyN

Akpinar S, Hersekli MA, Demirors H, Tandogan RN, Kayaselcuk F (2002) Effects of methylprednisolone and betamethasone injections on the rotator cuff: an exper- imental study in rats. Adv Ther 19: 194-201. Link: https://goo.gl/9vTMEJ

Naredo E, Cabero F, Beneyto P, Cruz A, Mondejar B, et al. (2004) A randomized comparative study of short term response to blind injection versus sonographic- guided injection of local corticosteroids in patients with painful shoulder. J Rheumatol 31: 308-314. Link: https://goo.gl/GsAsNR