Effect of steroid injection into the greater tubercle stump following a rotator cuff tear

DOI Web Site
  • Nakagaki Kimio
    Nakagaki Orthopaedic Clinic〒637-0004 奈良県五條市今井4-3-1 （4-3-1, Imai, Gojo city, Nara. Zip 637-0004）

Bibliographic Information

Other Title
  • 肩腱板断裂患者における超音波ガイド下大結節側腱板断端内ステロイド注入療法
  • ケンケンバンダンレツカンジャ ニ オケル チョウオンパ ガイド カ ダイ ケッセツガワケンバンダンタン ナイ ステロイド チュウニュウ リョウホウ

Search this article

Description

<p>BACKGROUND: We hypothesized that the greater tubercle stump of a rotator cuff tear would regress with ultrasound-guided steroid injection because Achilles’ tendon necrosis occurs following steroid injection.</p><p>MATERIALS and METHODS: We injected 3ml of 1% lidocaine hydrochloride and 2.5mg of betamethasone acetate suspension into the greater tubercle stump of a rotator cuff tear or the subacromial bursa with a 24-G needle under ultrasound guidance in patients with complete tears. We assessed the Japanese Orthopaedic Association (JOA) shoulder joint score before the injection and 2 weeks later. The stump injection group included 18 men and 14 women aged 54-89 years. The subacromial injection group included 15 men and 13 women aged 66-89 years.</p><p>RESULTS: The percent improvement in the JOA score was significantly greater in the stump injection group than in the subacromial injection group.</p><p>DISCUSSION: Inflammation of the rotator cuff was relieved following steroid injection into the greater tubercle stump. The stump regressed by inducing necrosis of the tissues of the rotator cuff, thereby relieving pain.</p><p>CONCLUSION: Following a complete rotator cuff tear, steroid injection into the greater tubercle stump is more useful than injection into the subacromial bursa.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top