OBJECTIVE To evaluate the effects of repeated steroid injection at subacromial bursa with different interval for patient with periarticular shoulder disorder. METHODS Group A (n=10) received subacromial bursa injection only on their first visit, group C (n=10) received the injection on their first visit and one week later, and group B (n=10) received the injection on their first visit and two...

This month, Canadian Family Physician is launching a new video series illustrating procedures and assessments that can be useful for family physicians. Check out this month’s instructional video—“Subacromial shoulder injection.” Shoulder pain, local inflammatory conditions, and local pathologies due to soft tissue trauma or repetitive overuse are frequently seen by family physicians. Local inje...

BACKGROUND Subacromial impingement syndrome, with pain and limited motion, is a common disease encountered daily in clinics. This study determined the efficacy of subacromial injections of corticosteroids and local anesthesia for treatment of painful subacromial impingement syndrome. METHODS A total of 238 shoulders in 209 patients, with regular follow-up, were enrolled in this study. Mean pa...

Shoulder pain is the third most common musculoskeletal complaint in orthopedic practice and impingement syndrome one of more underlying diagnosis(1). Neers classification system used as a criteria for diagnosis. The affected patients are generally over age 40(1). Patients present with on elevating arm or when lying side. Individuals will often complaints upon lifting They may report loss motion...

A 22-year-old woman with no significant medical history developed acute left shoulder pain and severe restrictions in range of motion after a seasonal influenza vaccine injection. Imaging by MRI, approximately 8 weeks after the injection, and by ultrasound, approximately 9.5 weeks after the injection demonstrated contusions on the humerus, injury of the supraspinatus, and effusion in the subacr...

Calcific tendinitis of the rotator cuff tendons is a common cause of shoulder pain in adults and typically presents as activity-related shoulder pain. It is thought to be an active, cell-mediated process, although the exact pathophysiology remains unclear. Nonsurgical management continues to be the mainstay of treatment; most patients improve with modalities such as oral anti-inflammatory medic...