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KMID : 0361420110350050664
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Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 5 p.664 ~ p.672
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Subacromial Bursa Injection of Hyaluronate with Steroid in Patients with Peri-articular Shoulder Disorders
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Byun Seung-Deuk
Park Dong-Hwi
Choi Won-Duck
Lee Zee-Ihn
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Abstract
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Objective: To investigate the additive effect of sono-guided subacromial bursa injection of hyaluronate with steroid in patients with peri-articular shoulder disorders.
Method: This prospective randomized controlled trial involved 26 patients who had shoulder pain. Group A, consisting of 13 patients, was treated with a sono-guided subacromial bursa injection containing a mixture of 0.5% lidocaine (5 ml) and triamcinolone 40 mg (1 ml), followed by injection with sodium hyaluronate (2 ml) once a week for 3 weeks. Th e other 13 patients (Group B) were treated with a sono-guided subacromial bursa injection containing a mixture of 0.5% lidocaine (5 ml) and triamcinolone 40 mg (1 ml) once a week for 3 weeks. Th e eff ects were assessed using a visual analogue scale (VAS) of shoulder pain, active range of motion (AROM), shoulder function assessment scale (SFA), shoulder disability questionnaire (SDQ) at study entry and every week from fi rst injection until 4 weeks after the 1st injection (= 2 weeks after 3rd injection).
Results: (1) Demographic features and all parameters measured before injection did not show a significant diff erence between the 2 groups. (2) Statistically signifi cant improvements were shown in VAS, SFA, SDQ during the 1st, 2nd, and 4th week after the fi rst injection in both groups (p<0.05). (3) SFA showed signifi cant improvement at 1 week after injection only in group A (p<0.05). (4) AROM of internal rotation showed signifi cant improvement at week 4 after the 1st injection only in group A (p<0.05).
Conclusion: Subacromial bursa injection of hyaluronate with steroid in patients with peri-articular shoulder disorders has additive eff ects on functional improvement of the aff ected shoulder, including the AROM of internal rotation.
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KEYWORD
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Sodium hyaluronate, Bursa injection, Peri-articular shoulder disorder, Steroid
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