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Intra-substance steroid injection for full-thickness supraspinatus tendon rupture
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 supr...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882333/ https://www.ncbi.nlm.nih.gov/pubmed/31775808 http://dx.doi.org/10.1186/s12891-019-2952-y |
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author | Liu, Chung-Ting Yang, Ten-Fang |
author_facet | Liu, Chung-Ting Yang, Ten-Fang |
author_sort | Liu, Chung-Ting |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6882333 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-68823332019-12-03 Intra-substance steroid injection for full-thickness supraspinatus tendon rupture Liu, Chung-Ting Yang, Ten-Fang BMC Musculoskelet Disord Research Article 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. BioMed Central 2019-11-27 /pmc/articles/PMC6882333/ /pubmed/31775808 http://dx.doi.org/10.1186/s12891-019-2952-y Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Liu, Chung-Ting Yang, Ten-Fang Intra-substance steroid injection for full-thickness supraspinatus tendon rupture |
title | Intra-substance steroid injection for full-thickness supraspinatus tendon rupture |
title_full | Intra-substance steroid injection for full-thickness supraspinatus tendon rupture |
title_fullStr | Intra-substance steroid injection for full-thickness supraspinatus tendon rupture |
title_full_unstemmed | Intra-substance steroid injection for full-thickness supraspinatus tendon rupture |
title_short | Intra-substance steroid injection for full-thickness supraspinatus tendon rupture |
title_sort | intra-substance steroid injection for full-thickness supraspinatus tendon rupture |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882333/ https://www.ncbi.nlm.nih.gov/pubmed/31775808 http://dx.doi.org/10.1186/s12891-019-2952-y |
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