Local anaesthetic injection with and without corticosteroids for subacromial impingement syndrome.
Fifty patients with impingement syndrome refractory to long-term conservative treatment were randomized to three treatment groups. All patients received an injection of 10 ml 0.5% bupivacaine, in group 1 without corticosteroid, in group 2 with crystalline corticosteroid and in group 3 with lipoid corticosteroid. Treatment in group 1 had to be stopped because of inefficacy. In groups 2 and 3 favorable results were achieved in 19 out of 40 patients.
Plafki
C
C
Department of Orthopedic Surgery, Duesseldorf, Germany. christian.plafki@gmx.de
Steffen
R
R
Willburger
R E
RE
Wittenberg
R H
RH
D000328:Adult; D000779:Anesthetics, Local / Q000627:therapeutic use*; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D002045:Bupivacaine / Q000627:therapeutic use*; D003907:Dexamethasone / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D019534:Shoulder Impingement Syndrome / Q000188:drug therapy*; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D014221:Triamcinolone / Q000627:therapeutic use*
D000779:Anesthetics, Local; D000893:Anti-Inflammatory Agents; D014221:Triamcinolone; D003907:Dexamethasone; D002045:Bupivacaine