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- Title
The time of postoperative corticosteroid injection can be individualized after arthroscopic rotator cuff repair.
- Authors
Cho, Sung-Hyun; Park, Taeyong; Kim, Yang-Soo
- Abstract
<bold>Background: </bold>Intra-articular corticosteroid injection is an effective treatment for pain and to improve the range of motion (ROM) of the shoulder joint. However, consideration of when it would be effective to inject corticosteroids after rotator cuff repair is more limited. The purpose of this study was to compare the outcomes of corticosteroids injection given at 4 and 8 weeks after arthroscopic rotator cuff repair.<bold>Methods: </bold>Between December 2016 and January 2018, 42 patients who underwent arthroscopic supraspinatus tendon repair were enrolled. Nineteen patients received 40 mg of triamcinolone injection 4 weeks after surgery (group 1), while 23 patients received the same injection 8 weeks after surgery (group 2). Clinical outcome was evaluated using ROM, American Shoulder and Elbow Surgeons (ASES) score, Constant score, Korean Shoulder score, and a visual analog scale (VAS) score before surgery and at 3, 6, and 12 months after surgery. Tendon integrity was assessed with magnetic resonance imaging (MRI) and sonography at 12 months after surgery.<bold>Results: </bold>Significant improvements in pain and functional scores were observed at the last follow-up in both groups (p < 0.05). There was no significant difference in VAS pain score between the two groups at any time point after surgery (p > 0.05). Functional scores and ROM in all directions also showed no statistical difference between the two groups (p > 0.05). Retears of the repaired tendon, assessed at 12 months postoperatively, were observed in two patients from group 1 (10.5%) and two patients from group 2 (8.7%), thus indicating no significant difference between the two groups (p > 0.05).<bold>Conclusion: </bold>Since there was no significant difference in clinical outcomes and tendon integrity, postoperative corticosteroid injection can be individualized according to the patient for 4-8 weeks after the rotator cuff repair.
- Subjects
SHOULDER joint surgery; PAIN; RANGE of motion of joints; ADRENOCORTICAL hormones; ARTHROSCOPY; MAGNETIC resonance imaging; TREATMENT effectiveness; INTRA-articular injections; ROTATOR cuff
- Publication
Journal of Orthopaedic Science, 2022, Vol 27, Issue 3, p621
- ISSN
0949-2658
- Publication type
journal article
- DOI
10.1016/j.jos.2021.02.010