Comparison of the corticosteroid injection and hyaluronate in the treatment of chronic subacromial bursitis: A randomized controlled trial.
Clin Rehabil
; 35(9): 1305-1316, 2021 Sep.
Article
em En
| MEDLINE
| ID: mdl-33858205
ABSTRACT
OBJECTIVE:
To analyse the effectiveness of corticosteroid (CS) and hyaluronic acid (HA) subacromial - subdeltoid (SASD) injection compared with normal saline (NS) in patients with chronic subacromial bursitis (CSB).DESIGN:
A prospective three-arm double-blinded randomised controlled trial.SETTING:
Rehabilitation department of two teaching hospitals.SUBJECTS:
Patients with CSB (N = 186) divided into CS (N = 68), HA (N = 60), and NS (N = 58) groups.INTERVENTIONS:
Three SASD injections under ultrasound guidance group A, 20 mg of triamcinolone; group B, 2.5 mL of HA; and group C, 2.5 mL of NS. OUTCOMEMEASURES:
The primary outcome measures were the pain visual analogue scale (VAS) score at eight weeks. The secondary outcomes were scores on the Shoulder Pain and Disability Index (SPADI) and Shoulder Disability Questionnaire.RESULTS:
At eight weeks, the pain VAS scores during activity were 2.56 ± 2.29, 3.65 ± 2.50, and 4.71 ± 2.83 in the CS, HA, and NS groups, respectively (CS vs NS, P < 0.001; HA vs NS, P = 0.013; CS vs HA, P = 0.010). SPADI scores were 40.83 ± 21.75, 36.92 ± 22.78, and 33.35 ± 23.38 in the CS, HA, and NS groups, respectively (CS vs NS, P < 0.001; HA vs NS, P = 0.197; CS vs HA, P = 0.004).CONCLUSION:
Ultrasound-guided corticosteroid injection into the subacromial - subdeltoid bursa was proven to be effective and superior to hyaluronic acid and normal saline injection for treating CSB. Hyaluronic acid injection was only marginally more effective than normal saline injection.Trial Registration ClinicalTrials.gov NCT02702206.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Bursite
/
Síndrome de Colisão do Ombro
Tipo de estudo:
Clinical_trials
/
Guideline
/
Observational_studies
/
Qualitative_research
Limite:
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article