scholarly journals One year outcome of Subacromial Methylprednisolone Injection and Psychotherapy for Subacromial Impingement Syndrome

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
S Lakhey ◽  
RR Manandhar
Keyword(s):  
Shoulder Function ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Constant Murley Score ◽  
Shoulder Region ◽  
Vas Scores ◽  
One Year ◽  
The One

BACKGROUND: Subacromial impingement syndrome is a common cause of pain in the shoulder region. When analgesics and physiotherapy are not helpful in relieving the patient’s shoulder pain, subacromial methylprednisolone injection is given. The aim of this prospective study was to determine the one year clinical outcome of subacromial injections of methylprednisolone and physiotherapy in patients with subacromial impingement syndrome. METHODS: The pain of thirty shoulders in twenty nine patients characteristic of subacromial impingement syndrome was assessed by Visual Analogue Scale (VAS) scores of 0 to 10, and the overall clinical and functional assessment was done by Constant Murley score. Each shoulder received methylprednisolone injection in the sub-acromial space by the posterior approach. The subacromial injections were repeated at two to three weekly intervals (a maximum of three injections) until the pain subsided to 2 or less in the VAS. This was followed by physiotherapy exercises. Treatment Outcome at final follow-up of one year was measured using VAS and Constant Murley Score. RESULTS: Pain before starting the injections was a mean of 7.87 in the VAS (range: 5-10 ). At the end of follow-up, it was a mean of 1.27 (range: 0 to 5). The Constant Murley Score was a mean of 30.83 (range: 6-49) before the start of injections. At the end of follow-up, it was a mean of 84.87(range: 70-96). CONCLUSION: Subacromial methylprednisolone injections followed by physiotherapy exercises can provide statistically and clinically satisfactory pain relief and improvement of shoulder function at one year follow up in 96.7% patients with subacromial impingement syndrome. DOI: http://dx.doi.org/10.3126/noaj.v1i1.8128 Nepal Orthopaedic Association Journal Vol.1(1) 2010

scholarly journals PRP-Therapy for Tendinopathies of Rotator Cuff and Long Head of Biceps

2019 ◽  
Vol 25 (3) ◽  
pp. 57-66
Author(s):  
D. A. Malanin ◽  
A. I. Norkin ◽  
A. S. Tregubov ◽  
M. V. Demeshchenko ◽  
L. L. Cherezov
Keyword(s):  
Rotator Cuff ◽  
Treatment Outcomes ◽  
Platelet Rich Plasma ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Long Head Of Biceps ◽  
Functional Scores ◽  
Long Head

Relevance. Owing to its controlling action on the inflammatory process, pain-relieving and reparative effects the RPR-therapy became quite demanded for treatment of certain types of tendinopathies specified by prevalence of degenerative process and poor reparative potential. Purpose of the study — to evaluate the efficiency of PRP-therapy in patients with tendinopathies of rotator cuff (RC) long head of biceps (LHB) tendons. Material and Methods. The paper presents the results of two-center prospective study for application of autologous platelet rich plasma in treatment of 122 patients: 53 men and 69 women aging 46.8±6.8 years who suffered RC tendinopathy (66%), subacromial impingement syndrome and RC tendinopathy (17%) and LHB tendinopathy (17%). Treatment outcomes were evaluated in 1, 3 and 6 months after PRP-therapy using various scales — VAS, UCLA , DASH, — and instrumental examination methods (US, MRI). Results. The authors observed statistically significant improvement in pain and functional scores in all three groups as compared to reported scores prior to PRP-therapy during 6 months follow up. During this period of evaluation, the scores of UCLA and DASH in patients with RC tendinopathy improved at 8.6 and 36.4 points, with subacromial impingement syndrome and RC tendinopathy — at 9.6 and 38.8 points, with LHB tendinopathy — at 11.5 and 44.1 point, respectively. The most notable reduction of pain syndrome by VAS was achieved in treatment of LHB tendinopathy (at 5.4 points) and RC tendinopathy (at 5.2 point). The highest average scores of satisfaction with treatment outcomes were reported in patients with RC tendinopathy (2.3) and LHB tendinopathy (2.2). MRI and ultrasound examinations after PRP-therapy demonstrated improved structure of RC and LHB tendons — decreased or eliminated swelling, areas of hypoechoic signal. Conclusion. PRP-therapy in patients with RC and LHB tendons and with subacromial impingement syndrome with RC tendinopathy significantly reduces severity of pain and improved the shoulder joint function with positive dynamics during 6 months follow up.

scholarly journals Effect of corticosteroid injections versus physiotherapy on pain, shoulder range of motion and shoulder function in patients with subacromial impingement syndrome: A systematic review and meta-analysis

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Marlette Burger ◽  
Carly Africa ◽  
Kara Droomer ◽  
Alexa Norman ◽  
Chloé Pheiffer ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Meta Analysis ◽  
Shoulder Function ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Shoulder Range Of Motion ◽  
Ebsco Host ◽  
Shoulder Range ◽  
Corticosteroid Injections

Background: Subacromial impingement syndrome (SIS) is one of the most common causes of shoulder pain. Limited research has been conducted into the efficacy of corticosteroid injections (CSIs) compared to physiotherapy in the management of SIS.Objective: To critically appraise and establish the best available evidence for the effectiveness of CSI in comparison with physiotherapy for the management of pain, shoulder range of motion (ROM) and shoulder function in patients with SIS.Methodology:  Seven databases were searched from inception to February 2016, namely PubMed, Science Direct, EBSCO Host: SPORTDiscus, EBSCO Host: CINAHL, Cochrane, Scopus and PEDro. The main search terms were shoulder impingement syndrome and/or subacromial impingement syndrome, corticosteroid injections and/or steroid injections, physical therapy and/or physiotherapy. Only randomised controlled trials (RCTs) were considered for inclusion. The articles were appraised according to the PEDro scale. The Revman© Review Manager Software was used to combine the results of shoulder function and the data were illustrated in forest plots.Results: The PEDro scores of the three RCTs that qualified for this review ranged from 7 to 8/10. There is Level II evidence suggesting that besides a significant improvement in shoulder function in favour of CSI at 6–7 weeks follow-up (p < 0.0001), no evidence was found for the superiority of CSIs compared with physiotherapy for pain, ROM and shoulder function in the short- (1–3 months), mid- (6 months) and long term (12 months).Conclusion: In patients with SIS only a short term significant improvement in shoulder function was found in favour of CSIs.

scholarly journals The case of ‘A Rhino Horn’: case report and proposal for modification to the Hetsroni and Kelly classification

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. i51-i59
Author(s):  
Oliver Marín-Pena ◽  
Olufemi R Ayeni ◽  
Marc Tey-Pons ◽  
Jesús Mas-Martinez ◽  
Pedro Dantas ◽  
...  
Keyword(s):  
Rectus Femoris ◽  
Impingement Syndrome ◽  
Professional Athlete ◽  
Type Iii ◽  
Trochanteric Region ◽  
One Year ◽  
The One ◽  
Acetabular Rim

Abstract Subspine impingement syndrome by definition involves a prominent antero-inferior iliac spine (AIIS) which can lead to impingement on the femoral neck thereby causing symptoms. We present the case of a 22-year-old semi-professional athlete who presented with a Type III AIIS morphology leading to subspine impingement syndrome and was managed via a mini open anterior approach. Radiological examination revealed a fairly prominent left AIIS resembling the ‘horn of a rhino’ extending to the trochanteric region anteriorly. A mini-anterior surgical approach was utilized for the resection of the ‘rhino horn’ and the rectus femoris was reattached. The patient remained asymptomatic at the one-year follow-up and had resumed weightlifting. Following this case, we propose a new classification of the type III AIIS morphology in view of the clinical presentation. The AIIS type III-Standard represents an extension from the acetabular rim to less than 1 cm (type III-S) and type III-Large, with an extension from the acetabular rim beyond 1 cm (type III-L). The type III-L will further be divided into two groups based on its relation to the ilium, type III-Lr (‘rib shape’) and type III-Lrh (‘rhino horn’).

scholarly journals Rigid tapping versus scapular stabilizing exercises in subacromial impingement syndrome: a protocol for a randomized controlled trial

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Ibrahim Metwally Dewir ◽  
Ibrahim Metwally Dewir ◽  
Hisham Mohamed Hussein
Keyword(s):  
Shoulder Pain ◽  
Intervention Program ◽  
Controlled Trial ◽  
Exercise Program ◽  
Shoulder Function ◽  
Rehabilitation Program ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
And Function

Introduction: Shoulder impingement syndrome (SIS) is a common problem seen in subjects who perform repetitive overhead activities. Despite favorable therapeutic results obtained when rigid taping (RT) or scapular stabilizing exercises (SSE) were used in SIS treatment, the comparison between their effectiveness has not been well studied. Aim of the study: This study aims to compare the effectiveness of rigid taping versus scapular stabilization exercises on shoulder pain and function in subjects with SIS Materials and methods: after screening for inclusion and exclusion criteria, a total of 93 subjects, diagnosed with SIS, will be included and assigned randomly into three equal groups. The first group will receive a standard exercise program plus scapular rigid taping (RTG), the second group will receive the standard exercises program plus scapular stabilizing exercises (SSEG), the third group (CG) will receive the standard exercises program. Pain intensity and level of shoulder function will be assessed using a visual analog scale (VAS), and shoulder pain and disability index (SPADI) respectively. Results: Data regarding pain level and functional status will be collected at baseline, after the intervention program, and at 3 months follow up. within and between groups comparison will be conducted. Conclusions: The results of this study will differentiate between the effectiveness of rigid tape versus scapular stabilizing exercises in treating ISI, will help to establish a better rehabilitation program for subjects with SIS.

scholarly journals Effects of Thoracic Mobilization and Extension Exercise on Thoracic Alignment and Shoulder Function in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Pilot Study

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 316
Author(s):  
Shin Jun Park ◽  
Seok Hyeon Kim ◽  
Soon Hee Kim
Keyword(s):  
Pilot Study ◽  
Thoracic Kyphosis ◽  
Muscle Tone ◽  
Shoulder Function ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Combination Group ◽  
Subacromial Impingement ◽  
Joint Mobilization ◽  
Medial Rotation

Introduction: Thoracic kyphosis commonly occurs in subacromial impingement syndrome. This pilot study investigated the effect of thoracic joint mobilization and extension exercise on improving thoracic alignment and shoulder function. Methods: In total, 30 patients with subacromial impingement syndrome were recruited and randomly assigned to three groups, the joint mobilization group (n = 10), exercise group (n = 10), and combination group (n = 10). After four weeks of treatment, the measured outcomes included thoracic kyphosis using a manual inclinometer; pectoralis major (PM) and upper trapezius (UT) muscle tone and stiffness using the MyotonPRO®; affected side passive range of motion (ROM) using the goniometer (flexion, abduction, medial rotation, and lateral rotation); and shoulder pain and disability index (SPADI). Results: All three groups had significant improvements in all variables (p < 0.05). Thoracic kyphosis; UT muscle tone; and flexion, medial rotation, and lateral rotation ROM and SPADI were all significantly improved in the combination group compared to the mobilization and exercise groups (p < 0.05). Conclusions: The combination therapy of thoracic mobilization and extension exercise can be regarded as a promising method to improve thoracic alignment and shoulder function in patients with subacromial impingement syndrome.

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