Intra-substance steroid injection for full-thickness supraspinatus tendon rupture View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-11-27

AUTHORS

Chung-Ting Liu, Ten-Fang Yang

ABSTRACT

BACKGROUND: The use of steroid injection for treatment of a full-thickness rotator cuff tear is still controversial. This study aimed to evaluate the effectiveness and safety of this treatment method. METHODS: Twelve patients in Group 1 received an intra-substance injection into rupture area of supraspinatus tendon with Diprospan 1 cc (betamethasone disodium phosphate 2 mg and betamethasone dipropionate 5 mg) and 1% xylocaine 1 cc. Twelve patients in Group 2 received an injection with normal saline 1 cc and 1% xylocaine 1 cc. The rupture size was measured by sonography before the injection, 3 months after the injection, and 6 months after the injection. Shoulder Pain and Disability Index (SPADI) score and Pain Visual Analogue Scale (VAS) score were measured and compared between the two groups before the injection, 1 week after the injection, 3 months after the injection, and 6 months after the injection. RESULTS: Pain and function improved more in Group 1 than in Group 2. The therapeutic effect lasted for at least 6 months in both groups. The size of the supraspinatus tendon rupture was not increased after injection in either group. CONCLUSIONS: Intra-substance injection into rupture area of supraspinatus tendon with steroid and xylocaine is effective to reduce pain and improve function in patients with full-thickness supraspinatus tendon rupture without increasing the size of the rupture. TRIAL REGISTRATION: Current Controlled Trials ChiCTR1900026376, data of registration: 2019/10/05 retrospectively registered. More... »

PAGES

569

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12891-019-2952-y

DOI

http://dx.doi.org/10.1186/s12891-019-2952-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1122950041

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31775808


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202 schema:name Degree Program of Biomedical Science and Engineering, National Chiao Tung University, Hsinchu, Taiwan
203 Department of Orthopaedics, Mackay Memorial Hospital, Taipei, Taiwan
204 rdf:type schema:Organization
 




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