Efficacy of a single, image-guided corticosteroid injection for glenohumeral arthritis

نویسندگان

چکیده

Background Limited data are available on the efficacy of cortisone injections for glenohumeral osteoarthritis (GHOA). The amount and longevity pain relief provided by a single injection unclear. Additionally, it remains uncertain how severity radiographic GHOA patient-reported function levels impact an injection. Therefore, we sought to describe single, image-guided in patients with GHOA. We hypothesized that more severe poorer baseline shoulder would require earlier secondary intervention. Methods Patients symptomatic who elected receive corticosteroid were prospectively enrolled. A phone interview was conducted record Oxford Shoulder Score (OSS) visual analog scale (VAS) score prior injection, as well OSS VAS at months 1, 2, 3, 4, 6, 9, 12 after endpoint study occurred when required second progressed surgery, or reached month 12. grouped their respective (mild vs. moderate severe) Samilson-Prieto classification (mild, moderate, analysis. Results analyzed 30 shoulders (29 patients). Of patients, 52% men. average age 66.1 years. No significant difference overall survival (defined no additional intervention) seen between groups based either grade. each follow-up compared values. For entire cohort, clinically 1-4 1-4, score. Discussion This aimed determine There differences need intervention this population classification. However, dysfunction did experience statistically significantly greater than milder dysfunction. following cohort experienced relevant improvements up 4

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ژورنال

عنوان ژورنال: Journal of Shoulder and Elbow Surgery

سال: 2021

ISSN: ['1058-2746', '1532-6500']

DOI: https://doi.org/10.1016/j.jse.2020.08.008