Article

A prospective study To evaluate the correlations between subacromial bursitis (bursal
thickening and effusion) on ultrasonography and its response to subacromial
corticosteroid injection in patients with rotator cuff disease. DESIGN:
Prospective, longitudinal comparison study.
SETTING: University-affiliated
tertiary care hospital. PARTICIPANTS: Patients with rotator cuff disease (N=69)
were classified into 3 groups based on ultrasonographic findings; (1) normative
bursa group (group 1, n=23): bursa and effusion thickness <1mm; (2) bursa
thickening group (group 2, n=22): bursa thickness >2mm and effusion thickness
<1mm; and (3) bursa effusion group (group 3, n=24): bursa thickness <1mm and
effusion thickness >2mm. INTERVENTION: A single subacromial injection with 20mg
of triamcinolone acetonide. MAIN OUTCOME MEASURES: Visual analog scale (VAS) of
shoulder pain, Shoulder Disability Questionnaire (SDQ), angles of active shoulder
range of motion (flexion, abduction, external rotation, and internal rotation),
and bursa and effusion thickness at pre- and posttreatment at week 8. RESULTS:
There were no significant differences between the 3 groups in demographic
characteristics pretreatment. Groups 2 and 3 showed a significant difference
compared with group 1 in changes on the VAS and abduction; group 3 showed a
significant difference compared with group 1 in changes of the SDQ, internal
rotation, and external rotation; and all groups showed significant differences
when compared with each other (groups 1 and 3, 2 and 3, and 1 and 2) in changes
of thickness. CONCLUSIONS: A patient with ultrasonographic observation of
subacromial bursitis, instead of normative bursa, can expect better outcome with
subacromial corticosteroid injection. Therefore, we recommend a careful selection
of patients using ultrasonography prior to injection.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS