지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 668 - 674 (7page)
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초록· 키워드
오류제보하기
Objective To evaluate effects of subacromial bursa injection with steroid according to dosage and to investigate whether hyaluronidase can reduce steroid dosage. Methods Thirty patients with periarticular shoulder disorder were assigned to receive subacromial bursa injection once a week for two consecutive weeks. Ten patients (group A) underwent subacromial bursa injection with triamcinolone 20 mg; another group of ten patients (group B) with hyaluronidase 1,500 IU and triamcinolone 20 mg; and the other ten patients (group C) with triamcinolone 40 mg. We examined the active range of motion (AROM) of the shoulder joint, visual analogue scale (VAS), and shoulder disability questionnaire (SDQ) at study entry and every week until 1 week after the 2nd injection. Results All groups showed statistically significant improvements in VAS after 1st and 2nd injections. When comparing the degree of improvement in VAS, there were statistically significant differences between groups C and A or B, but not between groups A and B. SDQ was statistically significantly improved only in groups B and C, as compared to pre-injection. There were statistically significant differences in improvement of SDQ after the 2nd injection between groups C and A or B. Statistically significant improvements in AROM were shown in abduction (groups B and C) and in flexion (group C only). Conclusion Repeated high-dose (40 mg) steroid injection was more effective in terms of pain relief and functional improvements of shoulder joint than medium-dose (20 mg) steroid injection in periarticular disorder. Hyaluronidase seems to have little additive effect on subacromial bursa injection for reducing the dosage of steroid.
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등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Akpinar S. / 2002 / Effects of methylprednisolone and betamethasone injections on the rotator cuff : an experimental study in rats / Adv Ther 19 : 194 ~ 201
Blair B. / 1996 / Efficacy of injections of corticosteroids for subacromial impingement syndrome / J Bone Joint Surg Am 78 : 1685 ~ 1689
Byun SD. / 2010 / Effect of three consecutive steroid injection on blood glucose and cortisol level in diabetic patients with hemiplegic shoulder pain / Clin Pain 9 : 82 ~ 8
Chen MJ. / 2006 / Ultrasound-guided shoulder injections in the treatment of subacromial bursitis / Am J Phys Med Rehabil 85 : 31 ~ 35
Chou WY. / 2010 / Effect of sodium hyaluronate treatment on rotator cuff lesions without complete tears : a randomized, double-blind, placebo-controlled study / J Shoulder El
Blair B. / 1996 / Efficacy of injections of corticosteroids for subacromial impingement syndrome / J Bone Joint Surg Am 78 : 1685 ~ 1689
Byun SD. / 2010 / Effect of three consecutive steroid injection on blood glucose and cortisol level in diabetic patients with hemiplegic shoulder pain / Clin Pain 9 : 82 ~ 8
Chen MJ. / 2006 / Ultrasound-guided shoulder injections in the treatment of subacromial bursitis / Am J Phys Med Rehabil 85 : 31 ~ 35
Chou WY. / 2010 / Effect of sodium hyaluronate treatment on rotator cuff lesions without complete tears : a randomized, double-blind, placebo-controlled study / J Shoulder El
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