Overview

Effect of Combined Ultrasound-guided Subdeltoid Corticosteroid Injections and Physiotherapy in Treatment of Patients With Chronic Subacromial Bursitis

Status:
Recruiting
Trial end date:
2022-12-31
Target enrollment:
0
Participant gender:
All
Summary
This study is to investigate whether combination of ultrasound-guided subdeltoidcorticosteroid injection and physiotherapy is more effective than either treatment alone in treatment of patients with chronic subacromial (or subdeltoid) bursitis (SAB).
Phase:
N/A
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Shin Kong Wu Ho-Su Memorial Hospital
Collaborator:
Ministry of Science and Technology, Taiwan
Treatments:
Triamcinolone
Triamcinolone Acetonide
Triamcinolone diacetate
Triamcinolone hexacetonide
Criteria
Inclusion Criteria:

1. shoulder pain for more than 1 month

2. age ≥20 years old

3. painful abduction or internal rotation with a visual analog scale (VAS) pain score ≥4

4. the presence of a painful arc of motion or pain at the middle to terminal range of
shoulder abduction or internal rotation with an empty or soft end feel

5. positive shoulder impingement test (Neer test and/or Hawkin test)

6. a reduction in pain of ≥40% on active shoulder abduction or internal rotation at the
terminal range after injection of 3ml of 1%lidocain into the SASD bursa under US
guidance.

Exclusion Criteria:

1. a history of uncontrolled chronic diseases, e.g., malignant neoplasms, blood
dyscrasia, and serious infection

2. previous surgery of the affected shoulder

3. any evidence of a rotator cuff tear or tendinopathy, demonstrated by positive
resistive tests andsonographic findings

4. calcification of the rotator cuff, demonstrated by x-ray or sonographic findings

5. the presence of arthritis, such asinflammatory arthritis(e.g., rheumatoid arthritis,
seronegativespondyloarthropathy, or crystal-related arthropathy), osteoarthritis,
frozen shoulder, subacromial spurs, or deformity of the acromion

6. the presence of instability of the affected shoulder

7. a previous fracture near the shoulder region

8. the presence of cervical radiculopathy or myelopathy

9. having received a corticosteroid or hyaluronic acid subacromial or shoulder joint
injection in the past 3 months.