Comparison of the Effectiveness of the Ultrasound Guided Injections in Patients With Shoulder Impingement Syndrome

Bursa Yüksek İhtisas Education and Research Hospital

Status and phase: Completed; Phase 4

Conditions: Ultrasound Guided Injection; Shoulder Impingement

Treatments: Drug: bupivacaine and methylprednisolone

Study type: Interventional

Funder types: Other

Identifiers

NCT05015322

BYIEAH2

Details and patient eligibility

About

Shoulder pain, which is the third most common cause of musculoskeletal pain, has different etiologies. Muscle, bone structures and connective tissue pathologies can cause shoulder pain. Impingement syndrome (IS), which can cover many terms such as rotator cuff disorders, tendinitis and tears, is one of the most common pathologies of shoulder pain.

Full description

The hypothesis of this study was that injection types including ACJ would increase treatment efficacy.Therefore, this study investigated the six-month follow-up results of patients undergoing SA injection and SSNB and those receiving SA and ACJ injection.

Enrollment: 88 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients aged 18-65,
• who were suffering from shoulder pain for more than three months and
• who were diagnosed with IS.
• All patients included in the study were diagnosed with IS using Shoulder Magnetic Resonance imaging.

Exclusion criteria

• the presence of cervical radiculopathy;
• undergoing shoulder operation before;
• the presence of central nervous system or
• the presence of rheumatological disease, and polyneuropathy;
• receiving physical therapy in the shoulder area with a diagnosis of IS within the last six months; and
• receiving any injection therapy in the past.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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88 participants in 3 patient groups

subacromial injection

Active Comparator group

Description:

ultrasound (US)-guided subacromial injection

Treatment:

Drug: bupivacaine and methylprednisolone

Drug: bupivacaine and methylprednisolone

Drug: bupivacaine and methylprednisolone

acromioclavicular joint and subacromial injection

Active Comparator group

Description:

ultrasound (US)-guided acromioclavicular joint and subacromial injection

Treatment:

Drug: bupivacaine and methylprednisolone

Drug: bupivacaine and methylprednisolone

Drug: bupivacaine and methylprednisolone

suprascapular nerve block

Active Comparator group

Description:

ultrasound (US)-guided suprascapular nerve block

Treatment:

Drug: bupivacaine and methylprednisolone

Drug: bupivacaine and methylprednisolone

Drug: bupivacaine and methylprednisolone