scholarly journals Subacromial steroid injection is safe and effective to improve painful LOM after rotator cuff repair

2016 ◽  
Vol 6 ◽  
pp. 21
Author(s):  
Joo Han Oh ◽  
Sae Hoon Kim ◽  
Je Kyun Kim ◽  
Dae Ha Kim ◽  
Seok Hoon Yang ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Steroid Injection ◽  
Cuff Repair

scholarly journals Effects of steroid injection during rehabilitation after arthroscopic rotator cuff repair

2021 ◽  
Vol 24 (3) ◽  
pp. 166-171
Author(s):  
Joong-Won Ha ◽  
Hyunkyo Kim ◽  
Seong Hun Kim
Keyword(s):  
Rotator Cuff ◽  
Functional Outcome ◽  
Rotator Cuff Repair ◽  
Steroid Injection ◽  
Constant Score ◽  
Arthroscopic Rotator Cuff Repair ◽  
Ultrasound Guided ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Background: Many patients fail to reap the benefits of rehabilitation after arthroscopic rotator cuff repair (ARCR) due to severe stiffness and pain. Thus, this study aims to compare the clinical outcomes of steroid injections during the rehabilitation period after ARCR.Methods: Among patients who underwent ARCR, 117 patients who met the inclusion and exclusion criteria were enrolled. Pain and range of motion (ROM) recovery at the 3-, 6-, and 24-month follow-up visits and functional outcome at the 24-month follow-up were compared between 45 patients who received ultrasound-guided subacromial steroid injection at postoperative week 4 or 6 and 72 patients who did not. Functional outcome was assessed using the American Shoulder and Elbow Surgeons (ASES) score and Constant score. Healing of the repaired tendon and retear were observed at the 6-month follow-up via magnetic resonance imaging (MRI) or computed tomography (CT) arthrography.Results: At the 3-month follow-up, the steroid injection group showed lower visual analog scale scores than the control group (p<0.05) and showed faster recovery of forward flexion and internal rotation (p<0.05). From the 6-month follow-up, the two groups did not show differences in pain and ROM, and the ASES score and Constant score also did not significantly differ at the 24-month follow-up. The two groups did not differ in retear rate as determined by MRI or CT arthrography at the 6-month follow-up. Conclusions: This study demonstrated that ultrasound-guided subacromial steroid injection at 4 or 6 weeks after ARCR leads to quick pain reduction and ROM recovery until 3 months after surgery. Therefore, subacromial steroid injection is speculated to be an effective and relatively safe method to assist rehabilitation.

An Intra-articular Steroid Injection at 6 Weeks Postoperatively for Shoulder Stiffness After Arthroscopic Rotator Cuff Repair Does Not Affect Repair Integrity

2018 ◽  
Vol 46 (9) ◽  
pp. 2192-2202 ◽  
Author(s):  
In-Bo Kim ◽  
Dong Wook Jung
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Steroid Injection ◽  
Arthroscopic Rotator Cuff Repair ◽  
Control Group ◽  
Shoulder Stiffness ◽  
Shoulder Range Of Motion ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Background: Shoulder stiffness is a common complication after arthroscopic rotator cuff repair. However, there is no consensus on the treatment of stiffness after repair. Although one treatment option is an intra-articular steroid injection, it may negatively affect repair integrity, and there is a paucity of literature regarding the timing of intra-articular injections for stiffness after repair and its effect on repair integrity. Purpose: To compare repair integrity and clinical outcomes after an intra-articular steroid injection administered at 6 weeks and 12 weeks postoperatively for shoulder stiffness after arthroscopic rotator cuff repair. Study Design: Cohort study; Level of evidence, 3. Methods: Patients who developed stiffness after arthroscopic rotator cuff repair were given a series of 3 intra-articular steroid injections every 4 weeks from 6 (6-week group) and 12 weeks (12-week group) postoperatively. The control group had rotator cuff tears but neither stiffness nor injections. Shoulder range of motion (ROM), the Korean Shoulder Scoring System (KSS) score, and the University of California, Los Angeles (UCLA) shoulder score were assessed preoperatively with a minimum of 2-year follow-up. Repair integrity was assessed using magnetic resonance imaging at 6 months postoperatively. Results: Seventy-four of 209 patients (35.4%) who underwent arthroscopic rotator cuff repair developed stiffness. There were no significant differences in retear rates among the 6-week (5.7%, 2/35 patients), 12-week (10.3%, 4/39 patients), and control groups (14.1%, 19/135 patients) ( P = .374). Both the 6- and 12-week groups showed significant improvement in ROM (both P < .001), KSS scores (both P < .001), and UCLA scores (both P < .001) at the final follow-up. The 6-week group showed significantly better ROM ( P < .001), KSS scores ( P < .001), and UCLA scores ( P < .001) than the 12-week group at 3 months postoperatively. However, both the 6- and 12-week groups showed significantly lower KSS (81.3 ± 12.0 [ P = .004] and 83.4 ± 8.6 [ P = .035], respectively) and UCLA (29.3 ± 4.6 [ P = .006] and 30.0 ± 3.3 [ P = .042], respectively) scores than the control group (90.4 ± 13.6 and 32.3 ± 4.7, respectively) at the last follow-up. Conclusion: An intra-articular steroid injection administered at 6 weeks postoperatively for shoulder stiffness after arthroscopic rotator cuff repair may be effective for reducing patients’ pain and improving shoulder ROM at 3 months postoperatively without compromising repair integrity.

Advantages and Techniques of Utilizing Anterolateral Portal in Delaminated Rotator Cuff Repair

2014 ◽  
Vol 23 (03) ◽  
pp. 170-173
Author(s):  
Prithviraj Chavan ◽  
Todd K. Gothelf ◽  
Keith M. Nord ◽  
William H. Garrett ◽  
Keith D. Nord
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Anterolateral Portal ◽  
Cuff Repair

Incidence of Propionibacterium acnes in arthroscopic rotator cuff repair

2020 ◽  
Vol 25 (1) ◽  
pp. 110-114 ◽  
Author(s):  
Yukihiro Kajita ◽  
Yusuke Iwahori ◽  
Yohei Harada ◽  
Masataka Deie
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Propionibacterium Acnes ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair
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