Subacromial corticosteroid injections

Journal of Shoulder and Elbow Surgery
Konrad I GrusonJoseph D Zuckerman

Abstract

The use of subacromial injections to treat shoulder pain has remained one of the most common procedures for the practicing orthopedist, rheumatologist, and general practitioner. Despite this, many prospective studies have questioned the efficacy of corticosteroid injections compared with nonsteroidal anti-inflammatory drugs or injections of local anesthetics alone, or both, when used for the treatment of symptomatic rotator cuff disease. Accurate diagnosis of the etiology of a patient's shoulder pain and proper injection technique are important in achieving satisfactory clinical outcomes. Both extrinsic as well as intrinsic etiologies for rotator cuff disease should be considered and must be elucidated with appropriate physical examination techniques. Although subacromial injections appear straightforward, more recent cadaveric, radiographic, and clinical studies have demonstrated variable accuracy rates using the two common techniques. In addition, absolute sterile technique must be used because infections of the subacromial space after injections, although uncommon, have generally led to debilitating conditions. This article reviews the etiology and pathophysiology of rotator cuff disease and the indications and techniques fo...Continue Reading

References

Jul 1, 1989·Radiology·M B ZlatkinR E Lenkinski
Jan 1, 1985·Scandinavian Journal of Rheumatology·R H WithringtonM H Seifert
Aug 1, 1985·The Journal of Bone and Joint Surgery. British Volume·M Watson
May 1, 1993·The American Journal of Sports Medicine·J P Stannard, A L Bucknell
Sep 1, 1996·Journal of Shoulder and Elbow Surgery·L J SoslowskyM R Moalli
Nov 1, 1996·The Journal of Bone and Joint Surgery. American Volume·B BlairJ D Zuckerman
Jan 1, 1997·Annals of the Rheumatic Diseases·J A EustaceO FitzGerald
May 21, 1998·Journal of Shoulder and Elbow Surgery·P F Partington, G H Broome
Jul 29, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·T C BealsM D Lazarus
Sep 2, 1998·AJR. American Journal of Roentgenology·R W WrightD D Buss
Sep 8, 1998·Skeletal Radiology·A G Bergman, M Fredericson
Jul 2, 1999·Journal of Shoulder and Elbow Surgery·B TillanderR Norlin
Jan 8, 2000·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·K J PaleyN S ElAttrache
Jul 1, 1997·The Journal of the American Academy of Orthopaedic Surgeons·H K Uhthoff, J W Loehr
Sep 8, 2000·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·R W WrightD D Buss
Jun 12, 2001·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·B TillanderR Norlin
Oct 9, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kotaro Yamakado
Nov 27, 2002·Annals of Biomedical Engineering·Louis J SoslowskyJames E Carpenter
Mar 1, 2003·Journal of Shoulder and Elbow Surgery·Laurie A HiemstraWarren Froese
Apr 4, 2003·The Journal of Bone and Joint Surgery. American Volume·Jerrold M Gorski, Lawrence H Schwartz
Jun 27, 2003·Clinics in Sports Medicine·Andrew L ChenJoseph D Zuckerman
Feb 27, 2004·The Orthopedic Clinics of North America·Grear Hurt, Champ L Baker
Mar 5, 2004·Journal of Shoulder and Elbow Surgery·Scott D MairRichard J Hawkins
Jul 10, 2004·The Journal of the American Board of Family Practice·Jonathan A Drezner, Brian J Sennett
Jul 28, 2004·Clinical Rheumatology·Kenan AkgünUlkü Akarirmak
Jan 7, 2005·The Journal of Bone and Joint Surgery. American Volume·Michael KhazzamStephen Fealy
Mar 25, 2005·Journal of Shoulder and Elbow Surgery·Peter V Mathews, Ronald E Glousman
May 12, 2005·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Christophe CélesteSheila Laverty
Jun 10, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Justin T K LimRonald M Dodenhoff
Oct 1, 2005·Journal of Shoulder and Elbow Surgery·Stephen FealyLouis U Bigliani
Dec 17, 2005·American Journal of Physical Medicine & Rehabilitation·Max J L ChenCarl P C Chen
Mar 7, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hans-Erik HenkusEwoud R A van Arkel
Sep 21, 2006·AJR. American Journal of Roentgenology·Bernard StallenbergPierre Alain Gevenois
Jan 11, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Michael C KoesterKurt P Spindler

❮ Previous
Next ❯

Citations

Jun 5, 2013·Best Practice & Research. Clinical Rheumatology·J W G Jacobs, J M R Michels-van Amelsfort
Jun 28, 2011·BMC Musculoskeletal Disorders·Edmund SohDianne Bautista
Jul 6, 2010·PM & R : the Journal of Injury, Function, and Rehabilitation·Jonathan T FinnoffJay Smith
Dec 3, 2014·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Sturla HaslerudJan Magnus Bjordal
May 27, 2015·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Tomas CazenaveUNKNOWN Pan-American League Against Rheumatisms (PANLAR) Ultrasound Study Group
Aug 1, 2015·Revista Brasileira De Ortopedia·Leonardo DauLuiz Antônio Munhoz da Cunha
Oct 18, 2018·Pain Research and Treatment·Davide BlonnaRoberto Rossi
Feb 23, 2013·British Journal of Sports Medicine·Benjamin John Floyd DeanAndrew Jonathan Carr
Sep 5, 2013·PM & R : the Journal of Injury, Function, and Rehabilitation·Steve J WisniewskiJay Smith
Apr 1, 2017·World Journal of Orthopedics·Brian R WatermanJosef K Eichinger
Feb 14, 2019·The American Journal of Sports Medicine·Michelle E KewBrian C Werner
May 2, 2019·The Journal of Orthopaedic and Sports Physical Therapy·Tim Cook, Jeremy Lewis
Jun 8, 2017·Shoulder & Elbow·Hassan M T FawiTimothy J W Matthews
Aug 1, 2014·Orthopaedic Journal of Sports Medicine·Luke EttingerAndrew Karduna
Apr 8, 2011·Orthopedics·Hussein ElkousyT Bradley Edwards
Jun 17, 2020·European Journal of Radiology·Michail E KlontzasApostolos H Karantanas
Oct 26, 2010·Emergency Medicine Clinics of North America·Sanjeev MalikHeather Leonard

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Hans-Erik HenkusEwoud R A van Arkel
Journal of Shoulder and Elbow Surgery
Peter V Mathews, Ronald E Glousman
© 2021 Meta ULC. All rights reserved