Subacromial steroid injection Shoulder pain Rotator cuff tear Impingement syndrome Subacromial steroid injection,
Conditions
Interventions
One time of an injection containing of 5 ml of 1% Lidocaine,
2 ml of Iopamidol injection contrast medium and 1 ml (40mg) of triamcinolone via lateral injection
which located at 2-
cm below the mid-
lateral aspect of the acromion and directed anteriorly and cephalad.,One time of an injection containing of 5 ml of 1% Lidocaine,
2 ml of Iopamidol injection contrast medium and 1 ml (40mg) of triamcinolone via posterior injection
which located at 1-
cm posterior and inferior to the posterolateral border of the acromion.
Experimental Procedure/Surgery,Experimental Procedure/Surgery
Lateral route of subacromial injection,Posterior route of subacromial injection
Sponsors
Suranaree University of Technology Hospital
Police General Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: (a) patients with a history of shoulder pain, especially with overhead activities and night pain, (b) symptoms that persisted for at least 2 months, (c) a positive impingement sign, (d) no major weakness of the rotator cuff with muscle testing and (e) skeletal maturity
Exclusion criteria
Exclusion criteria: (a) patients who had had previous subacromial injections within the previous 6 months, (b) an os acromiale, (c) primary adhesive capsulitis, (d) previous shoulder surgery, (e) a history of fracture or dislocation, (f) pregnancy, (g) an allergy to any of the injection agents and (h) possible full-thickness tear of the rotator cuff that manifested less than grade 3 level of shoulder flexion and external rotation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Accuracy of lateral route of subacromial injection to posterior route. 0-minute after an injection and one-week after first radiographic intepretation Radiographic intepretation by muscoloskeletal radiologist | — |
Secondary
| Measure | Time frame |
|---|---|
| Effectiveness of lateral route of subacromial injection to posterior route. 0-minute and 30-minute after an injection Modified UCLA shoulder rating scale and Visual Analog scale | — |
Countries
Thailand
Contacts
Public ContactPhob Ganokroj
Suranaree University of Technology Hospital
Outcome results
None listed