Lack of high-quality evidence has limited the widespread acceptance platelet-rich plasma, bone marrow aspirate, and other therapeutics, collectively referred to as “orthobiologics,” for partial-thickness rotator cuff tears associated tendinopathies. The existing literature is limited, among things, by underpowered studies imprecise descriptions administration and/or formulation plasma being inv...

Goal: Effectiveness of open subacromial decompression and acromioplasty (on anterior approach) for subacromial impingement syndrome. Materials and methods: The study group is composed of 62 patients, 32 women and 30 men, with a mean age of 56.2 years (extremes 39-71) who, between 2002 and 2006, underwent open acromioplasty using transdeltoidian anterior approach, accompanied by previous complet...

as a diagnostic tool as well as a therapeutic tool for shoulder pain due to rotator cuff pathology. Thus, many patients who undergo shoulder imaging evaluation have a history of subacromial injection. Several studies have been done to evaluate the accuracy of subacromial injection. Most studies have revealed not only the difficulty of an accurate injection into the subacromial bursa, but also t...

Background Corticosteroid injections are used to treat a variety of orthopedic conditions with the goal of decreasing pain and inflammation. Administration of systemic or local corticosteroids risks temporarily increasing blood glucose levels, especially diabetic patients. The purpose of this study is to quantify the effects of corticosteroid injections on blood glucose levels in diabetic patie...

BACKGROUND Role substitution is a strategy employed to assist health services manage the growing demand for musculoskeletal care. Corticosteroid injection is a common treatment in this population but the efficacy of its prescription and delivery by physiotherapists has not been established against orthopaedic standards. This paper investigates whether corticosteroid injection given by a physiot...

[Purpose] This review article is designed to expose the application of sonography in shoulder pain after stroke. [Methods] A range of databases was searched to identify articles that address sonography examination, with or without ultrasound guided corticosteroid injection for hemiplegic shoulder pain (HSP). The electronic databases of PubMed, CENTRAL, CINAHL, Cochrane Library, Medline were sea...

BACKGROUND Subacromial injection of a local anesthetic is used to eliminate pain as a confounding factor in clinical assessment of abduction strength in shoulders with a suspected rotator cuff tear. If strength remains diminished despite pain relief, a rotator cuff tear is likely. The effect of injecting local anesthetic into the subacromial space on the strength of a normal shoulder is unknown...

Shoulder disorders are common in the general population : they occur in about 25 of every 1000 patients per year. A rather large majority are caused by cuff disorders. Differentiating between impingement and cuff rupture is essential to adequate treatment. Clinical tests have been developed, but their accuracy is limited. This study was performed to improve clinical accuracy by combining single...

BACKGROUND Treatment for pain due to shoulder impingement syndrome (SIS) typically begins conservatively with nonsteroidal anti-inflammatory drugs and physical therapy and can include subacromial injection of corticosteroids, particularly in patients unresponsive to conservative measures. The heated lidocaine/tetracaine (HLT) patch has been reported to reduce SIS pain in a small case series. ...