Overview

Effect of Ultrasound-guided Hyaluronic or Corticosteroid Injections in Patients With Chronic Subacromial Bursitis

Status:
Completed
Trial end date:
2016-12-01
Target enrollment:
0
Participant gender:
All
Summary
A randomized controlled trial to compare the effect of ultrasound-guided hyaluronic or corticosteroid injections in patients with chronic subacromial bursitis.
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:
Hyaluronic Acid
Lidocaine
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 a soft end feel

5. tenderness over the subacromial bursa

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
ultrasound (US) guidance.

Exclusion Criteria:

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

2. previous surgery of the affected shoulder

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

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

5. the presence of arthritis, such as inflammatory arthritis (e.g., rheumatoid arthritis,
seronegative spondyloarthropathy, 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