Corticosteroid Injection Versus Nerve Block

University of Minnesota (UMN)

Status: Enrolling

Conditions: Rotator Cuff Arthropathy; Glenohumeral Arthritis

Treatments: Other: intraarticular corticosteroid injection (IACI); Other: suprascapular nerve block (SSNB)

Study type: Interventional

Funder types: Other

Identifiers

NCT06735027

ORTHOSURG-2024-33106

Details and patient eligibility

About

The purpose of this study is to evaluate conservative pain relief measures for patients suffering from glenohumeral arthritis or rotator cuff arthropathy. Conservative management of osteoarthritis is often first line treatment, and while a corticosteroid injection is frequently used, suprascapular nerve blocks have not often been described as an analgesic option in this population.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 99 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• diagnosis of glenohumeral osteoarthritis, rheumatoid arthritis, or rotator cuff arthropathy who are being offered injection

Exclusion criteria

• uncontrolled diabetes (patients will be excluded if no HbA1c within a year or if it is 8 or greater"
• known allergy to steroid or anesthetic
• pregnant women
• prisoners
• patients with diminished capacity to consent to participation
• children under 18 years of age
• non-English speakers

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

intraarticular methylprednisolone acetate injection (IACI)

Experimental group

Description:

Patients with glenohumeral osteoarthritis, rheumatoid arthritis, or rotator cuff arthropathy who are poor surgical candidates or who are not interested in pursuing surgery randomized to intraarticular corticosteroid injection (IACI).

Treatment:

Other: intraarticular corticosteroid injection (IACI)

suprascapular nerve block (SSNB) with bupivacaine and triamcinolone

Experimental group

Description:

Patients with glenohumeral osteoarthritis, rheumatoid arthritis, or rotator cuff arthropathy who are poor surgical candidates or who are not interested in pursuing surgery randomized to suprascapular nerve block (SSNB)

Treatment:

Other: suprascapular nerve block (SSNB)