abstract backgrounds: subacromial impingement is a common cause of shoulder pain and many patients with this condition recover with conservative management. the most commonly used modalities of nonoperative treatment include activity modification, anti-inflammatory medication and subacromial injection of steroid and ultrasound and physical therapy programs. this study assessed the value of phys...

Goal: Effectiveness of open subacromial decompression and acromioplasty (on anterior approach) for subacromial impingement syndrome. Materials and methods: The study group is composed of 62 patients, 32 women and 30 men, with a mean age of 56.2 years (extremes 39-71) who, between 2002 and 2006, underwent open acromioplasty using transdeltoidian anterior approach, accompanied by previous complet...

as a diagnostic tool as well as a therapeutic tool for shoulder pain due to rotator cuff pathology. Thus, many patients who undergo shoulder imaging evaluation have a history of subacromial injection. Several studies have been done to evaluate the accuracy of subacromial injection. Most studies have revealed not only the difficulty of an accurate injection into the subacromial bursa, but also t...

BACKGROUND Subacromial injection of a local anesthetic is used to eliminate pain as a confounding factor in clinical assessment of abduction strength in shoulders with a suspected rotator cuff tear. If strength remains diminished despite pain relief, a rotator cuff tear is likely. The effect of injecting local anesthetic into the subacromial space on the strength of a normal shoulder is unknown...

Shoulder disorders are common in the general population : they occur in about 25 of every 1000 patients per year. A rather large majority are caused by cuff disorders. Differentiating between impingement and cuff rupture is essential to adequate treatment. Clinical tests have been developed, but their accuracy is limited. This study was performed to improve clinical accuracy by combining single...

BACKGROUND Subacromial impingement syndrome is the most frequent cause of shoulder problems which themselves affect 1 in 3 adults. Management commonly includes exercise and corticosteroid injection. However, the few existing trials of exercise or corticosteroid injection for subacromial impingement syndrome are mostly small, of poor quality, and focus only on short-term results. Exercise packag...

We have carried out a prospective double-blind randomised controlled trial to compare the efficacy of a single subacromial injection of the non-steroidal anti-inflammatory drug, tenoxicam, with a single injection of methylprednisolone in patients with subacromial impingement. A total of 58 patients were randomly allocated into two groups. Group A received 40 mg of methylprednisolone and group B...

OBJECTIVE To compare the effectiveness of subacromial corticosteroid injection combined with timely exercise and manual therapy (injection plus exercise) or exercise and manual therapy alone (exercise only) in patients with subacromial impingement syndrome. DESIGN Pragmatic randomised clinical trial. SETTING Primary care based musculoskeletal service. Patients Adults aged 40 or over with su...

Subacromial septic bursitis after corticosteroid injection is exceedingly rare. This report describes a case of Staphylococcus aureus subacromial septic bursitis after corticosteroid injection in a patient undergoing isotretinoin (Accutane) therapy. This case is only the third reported in the literature linking a corticosteroid injection with septic subacromial bursitis and the first to describ...