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KMID : 1195520140070010007
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Journal of Korean Orthopaedic Ultrasound Society
2014 Volume.7 No. 1 p.7 ~ p.12
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The Effectiveness of Buprenorphine Transdermal Patch on Patients with Shoulder Pain: Short-Term Follow-up Study
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Hong Jin-Ho
Park Yong-Bok
Ryu Ho-Young
Jeon Sang-Jun
Park Won-Ha
Yoo Jae-Chul
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Abstract
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Purpose:The effectiveness of transdermal buprenorphine patch on the patients with frozen state of frozen shoulder was evaluated.
Materials and Methods: Between March and September in 2013, 127 patients with pain and limited range of motion in shoulder joint over 6 months were included. Every patient was confirmed the diagnosis through MRI or ultrasonogram and each patient received intra-articular injection of steroid once. After 2~4 weeks, every patient was interviewed via telephone survey and finally 105 patients were included, 54 patients received only oral NSAIDs (NP group) while 51 patients received additional transdermal buprenorphine patch (BP group). Pain and functional visual analog scale (PVAS, FVAS), American Shoulder Elbow Society (ASES) score was checked.
Results: Generally, every outcome variables showed improvements in both groups (p<0.001). PVAS score after treatment showed superior result in NP group but it was not significant (p=0.088). In ASES score, NP group had superior result than BP group and it had significant difference. Similarly in FVAS, NP group showed superior result but the data before treatment was significantly different (p=0.028)
Conclusion: Transdermal buprenorphine patch didn’t show superior treatment result in the patient with frozen state of frozen shoulder which was applied with oral NSAIDs after single intra-articular glenohumeral steroid injection in shortterm follow-up.
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KEYWORD
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Shoulder, Frozen shoulder, Adhesive capsulitis, Ultrasonogram, Conservative, Buprenorphine, Patch
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