M Bhatia1, B Singh, N Nicolaou, K J Ravikumar. 1. Department of Trauma and Orthopaedics, Maidstone District General Hospital, Maidstone, UK. maneeshbhatia@yahoo.com
Abstract
INTRODUCTION: Concern exists regarding potential damage to the rotator cuff from repeated corticosteroid injections into the subacromial space. PATIENTS AND METHODS: In this retrospective, case-controlled study, 230 consecutive patients presenting to three orthopaedic units with subacromial impingement and investigated as an end-point with magnetic resonance imaging (MRI) of the shoulder were divided into groups having received less than three or three or more subacromial injections of corticosteroids. RESULTS: With no significant difference in age and sex distribution, analysis by MRI showed no significant difference between the two groups in the incidence of rotator cuff tear (P < 1.0). CONCLUSIONS: This suggests that corticosteroid use in patients with subacromial impingement should not be considered a causative factor in rotator cuff tears.
INTRODUCTION: Concern exists regarding potential damage to the rotator cuff from repeated corticosteroid injections into the subacromial space. PATIENTS AND METHODS: In this retrospective, case-controlled study, 230 consecutive patients presenting to three orthopaedic units with subacromial impingement and investigated as an end-point with magnetic resonance imaging (MRI) of the shoulder were divided into groups having received less than three or three or more subacromial injections of corticosteroids. RESULTS: With no significant difference in age and sex distribution, analysis by MRI showed no significant difference between the two groups in the incidence of rotator cuff tear (P < 1.0). CONCLUSIONS: This suggests that corticosteroid use in patients with subacromial impingement should not be considered a causative factor in rotator cuff tears.
Authors: Taiceer A Abdul-Wahab; Jean P Betancourt; Fadi Hassan; Saeed Al Thani; Hened Choueiri; Nitin B Jain; Gerard A Malanga; William D Murrell; Anil Prasad; Olivier Verborgt Journal: Muscles Ligaments Tendons J Date: 2016-05-19
Authors: Laurent Baverel; Achilleas Boutsiadis; Ryan J Reynolds; Mo Saffarini; Renaud Barthélémy; Johannes Barth Journal: JSES Open Access Date: 2017-12-19