Efficacy of Injections of Corticosteroids for Subacromial Impingement Syndrome*

  title={Efficacy of Injections of Corticosteroids for Subacromial Impingement Syndrome*},
  author={Benjamin Blair and Andrew S. Rokito and Frances Cuomo and K L Jarolem and Joseph D. Zuckerman},
  journal={The Journal of Bone \& Joint Surgery},
A prospective, randomized, controlled, double-blind clinical study was performed to determine the short-term efficacy of subacromial injection of corticosteroids for the treatment of subacromial impingement syndrome. Forty patients were randomized to receive either six milliliters of 1 per cent lidocaine without epinephrine (the control group) or two milliliters containing forty milligrams of triamcinolone acetonide per milliliter with four milliliters of 1 per cent lidocaine without… 

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An Analysis of the Efficacy of Local Steroid Injections for the Treatment of Subacromial Impingement Syndrome

It is concluded that the use of subacromial steroid injection is effective for short-term therapy in the treatment of subACromial impingement syndrome, but the long-term effectiveness is doubtful.

Comparison of subacromial tenoxicam and steroid injections in the treatment of impingement syndrome.

Both subacromial tenoxicam and steroid injections may be successfully used in the treatment of patients with impingement syndrome and may be preferred as a first-line intervention in these patients thanks to its safe profile.

[The contribution of subacromial injection to the conservative treatment of impingement syndrome].

Subacromial injection contributes to the success of the conservative treatment of subacromia impingement syndrome through decreasing pain and enabling more effective range of motion and strengthening exercises, both of which are associated with increased functional improvement.

The efficacy of subacromial corticosteroid injections in impingement syndrome

Considering possible detrimental effects of repeated subacromial injections on rotator cuff tendons, intradeltoid muscle injections may have a chance in clinical application.

The effectiveness of injections of hyaluronic acid or corticosteroid in patients with subacromial impingement: a three-arm randomised controlled trial.

After three, six and 12 weeks corticosteroid injections were superior to hyaluronic acid injections and only at six weeks significantly better than placebo injections, but in the long term the placebo injection produced the best results.

Subacromial injections of corticosteroids and xylocaine for painful subacromial impingement syndrome.

Subacromial injection of corticosteroids and local anesthesia is an effective therapy for the treatment of symptomatic subacromia pathology, such as impingement pain, tendonitis and bursitis.

A double-blind randomised controlled study comparing subacromial injection of tenoxicam or methylprednisolone in patients with subacromial impingement.

Corticosteroid is significantly better thanTenoxicam for improving shoulder function in tendonitis of the rotator cuff after six weeks and subacromial injection of tenoxicam does not offer an equivalent outcome to subac Romuald injection of corticosteroids at six weeks.

Is local subacromial corticosteroid injection beneficial in subacromial impingement syndrome?

It is found that subacromial corticosteroid injections in the acute or subacute phase of SIS provided additional short-term benefit without any complication when used together with nonsteroidal anti-inflammatory drugs (NSAIDs) and exercise.



Subcutaneous atrophy following methylprednisolone injection in Osgood-Schlatter epiphysitis.

A significant degree of subcutaneous atrophy with formation of striae in the skin around the tibial tubercle was noted in eight knees, and no attempt was made to limit the spread of the mixture.

Ultrasound therapy of subacromial bursitis. A double blind trial.

The results suggest that US is of little or no benefit when combined with ROM exercises and NSAIDs or ROM exercises in the treatment of SSA.

Rotator cuff tendinitis: comparison of subacromial injection of a long acting corticosteroid versus oral indomethacin therapy.

It is suggested that there is essentially no difference in the short term efficacy of oral nonsteroidal therapy compared to local corticosteroid injection(s) in the treatment of rotator cuff tendinitis.

The painful arc syndrome. Clinical classification as a guide to management.

Excision of the outer end of the clavicle and division of the coraco-acromial ligament abolished the pain in most cases.

The long-term outcome of rotator cuff tendinitis--a review study.

The sizeable proportion of patients with chronic tendinitis resistant to conservative treatment suggests that rotator cuff tend initis is not an early self-limiting condition and improvement in management is required.

A placebo-controlled trial of steroid injections in the treatment of supraspinatus tendonitis.

There was no statistical difference in the improvement in pain score between the two groups at 2 and 8 weeks of follow-up or in analgesic consumption in the steroid injections groups.

Major ruptures of the rotator cuff. The results of surgical repair in 89 patients.

  • M. Watson
  • Medicine
    The Journal of bone and joint surgery. British volume
  • 1985
A randomised prospective study showed that repair following by splinting in abduction gave no better results than repair followed by resting the arm at the side, andcision of the coraco-acromial ligament was associated with worse results than leaving its divided halves in situ.

Comparison of injection techniques for shoulder pain: results of a double blind, randomised study.

A trial comparing two different methods of corticosteroid injection with local anaesthetic in a randomly allocated double blind study found the method of anatomical injection after diagnosis by the technique of selective tissue tension gave 60% success compared with the method using tender or trigger point localisation.

Tendon rupture after local steroid injection.

Thirteen patients who developed 15 ruptured tendons subsequent to injection of a depository steroid in or about the tendons are described, with older patients who had ruptures of the tendon of the long head of the biceps.