DOES ULTRASONOGRAPHY GUIDED STEROID INJECTIONS PROVIDE BETTER OUTCOME IN SHOULDER IMPINGEMENT SYNDROME? A PROSPECTIVE STUDY

Shoulder pain is the third most common musculoskeletal complaint in orthopedic practice and impingement syndrome one of more underlying diagnosis(1). Neers classification system used as a criteria for diagnosis. The affected patients are generally over age 40(1). Patients present with on elevating arm or when lying side. Individuals will often complaints upon lifting They may report loss motion primary reason they come to be evaluated, that nighttime prevents them from sleeping. Weakness stiffness result secondary pain(1,2). decision treat conservatively surgically made basis duration severity pain, degree functional disturbance, extent structural damage. goal treatment restore pain-free powerful movement shoulder joint.(1) There wide variety conservative treatments SIS ranging different physiotherapy modalities such joint mobilisation techniques strengthening exercises, adaptations daily activities, non-steroidal anti-inflammatory drugs (NSAIDs) well steroid injections(4). Subacromial corticosteroid injection (CSI) popular method amongst orthopaedists, rheumatologists general practitioners(5). This regarded an inexpensive effective way both diagnose symptomatic rotator cuff disease (6). Therapeutic effects CSI inflammation range (ROM) have mostly been observed being limited short-term effect (7). It important increase accuracy rate get better clinical outcome relieving improving function. study intends find out superiority USG guided subacromial landmark syndrome. Objective study- To compare difference between Ultrasound , hypothesis ultrasound technique has superior outcome. Methods observational study, carried at Tertiary Hospital MGM Medical college Navi Mumbai July 2021 December 6 months duration, which included 100 showing signs symptoms Patient were categorized into group group. Written informed consent was taken each patient willing enrolled study. A 2 weekly, 4 weekly follow up post done OPD . During visit evaluation using SPADI (shoulder disability index) score. Conclusion Improvement function statistically significant compared injection. Therefore than