An Intra-articular Steroid Injection at 6 Weeks Postoperatively for Shoulder Stiffness After Arthroscopic Rotator Cuff Repair Does Not Affect Repair Integrity

Kim, Inbo; Jung, Dong In

doi:10.1177/0363546518777739

Cited by 32 publications

(45 citation statements)

References 47 publications

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“…Another 64 articles were further excluded by reading the full text. Ultimately, 6 articles [17][18][19][20][21][22] were eligible for data extraction and meta-analysis. The searching process is shown in Fig.…”

Section: Search Resultsmentioning

confidence: 99%

Safety and Effectiveness of Intra-articular Corticosteroid Injection Following Arthroscopic Shoulder Surgery

Wang²,

Tang³

2020

Preprint

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Background To evaluate the safety and effectiveness of intra-articular corticosteroid injection following arthroscopic shoulder surgery. Method PubMed, Cochrane Library, EMBASE, Web of Science and CNKI were retrieved from the inception of electronic databases to June 2020. All analyses were performed using Stata/SE 15.1 version (StataCorp). Result 6 papers were included in this meta-analysis. There was no significant difference in tear rate (OR = 0.713, 95% CI: 0.450 to 1.129, P = 0.149), constant score (MD = 6.212, 95% CI: 2.552 to 9.971, P = 0.001), rating scale of the American shoulder and elbow surgeons (ASES) score (MD=-0.116, 95% CI: -1.769 to 1.546) and the university of California at Los Angeles shoulder rating (UCLA) score (MD = -1.461, 95% CI: -3.221 to 0.299). The infection rate of patients who received corticosteroid injection within 1 month after operation was significantly higher (P < 0.05), but there was no significant change in the infection rate of patients who received corticosteroid injection within 2–4 months after operation. Conclusion The use of corticosteroids after shoulder arthroscopy will not increase the rate of postoperative tears, but the injection of corticosteroid within 1 month will increase the postoperative infection rate.

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Section: Search Resultsmentioning

confidence: 99%

Safety and Effectiveness of Intra-articular Corticosteroid Injection Following Arthroscopic Shoulder Surgery

Wang²,

Tang³

2020

Preprint

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“…Kim ve ark. yaptıkları çalışmada rotator manşet nedeniyle opere edilen hastalara postop 6. haftada yapılan steroidin omuz sertliğini azalttığı ve hasta memnuniyetini arttırdığını bildirmişlerdir (14). Hagiwara ve ark.…”

Section: Discussionunclassified

Kronik Subakromiyal İmpingementli Hastalarda İntraoperatif Yapılan Steroidin Tedaviye Etkisi

Yildiz

Yıldız

2021

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

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Aim: In this study, we aimed to investigate the effect of steroid applied to the subacromial bursa during the operation on the postoperative treatment of patients with chronic subacromial impingement syndrome (CSIS). Materials and Methods:A total of 116 patients with no difference in terms of age, gender and Constant shoulder score were included in the study. During the operation, the group was divided into two groups as those who receive steroid injections into the subacromial bursa (N: 60) and those who did not (N: 56). The preoperative and postoperative Constant scores in the 1st, 3rd and 6th month controls were measured and compared statistically. Results:The mean preoperative Constant shoulder score was 37.83 (± 8.14) in the steroid treated group, while it was 39.61 (± 8.08) in the steroid-free group (P=0.231). In the postoperative period, the mean Constant score was 76.88 (± 9.27) in the first month in the steroid group, while it was 78.26 (± 10.52) (P=0.447) in the steroid-free group. When the mean Constant scores of the two groups in the third and sixth months postoperatively were compared, no statistically significant difference was found. (P=0.101, p=0.173, respectively). Conclusions:The steroid administered intraoperatively to patients with CSIS does not contribute to the treatment in the postoperative period.

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“…female and younger patients may bene t from limited immobilization [45] and more rapid rehabilitation strategies [46] in the postoperative period. Liberal use of postoperative steroid injections may also be considered in these patients [47].…”

Section: Discussionmentioning

confidence: 99%

Prognostic Factors for the Occurrence of Post-Operative Shoulder Stiffness After Arthroscopic Rotator Cuff Repair: A Systematic Review

Stojanov

Modler

Müller

et al. 2021

Preprint

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BackgroundPost-operative shoulder stiffness (POSS) is one of the most frequent complications after arthroscopic rotator cuff repair (ARCR). Factors specifying clinical prediction models for the occurrence of POSS should rely on the literature and expert assessment. Our objective was to map prognostic factors for the occurrence of POSS in patients after an ARCR.MethodsLongitudinal studies of ARCR reporting prognostic factors for the occurrence of POSS with an endpoint of at least 6 months were included. We systematically searched Embase, Medline, and Scopus for articles published between January 1, 2014 and February 12, 2020 and screened cited and citing literature of eligible records and identified reviews. The risk of bias of included studies and the quality of evidence were assessed using the Quality in Prognosis Studies tool and an adapted Grading of Recommendations, Assessment, Development and Evaluations framework. A database was implemented to report the results of individual studies. The review was registered on PROSPERO (CRD42020199257).ResultsSeven cohort studies including 23 257 patients were included after screening 5013 records. POSS prevalence ranged from 0.51% to 8.75% with an endpoint ranging from 6 to 24 months. Due to scarcity of data, no meta-analysis could be performed. Overall risk of bias and quality of evidence was deemed high and low or very low, respectively. Twenty-two potential prognostic factors were identified. Increased age and male sex emerged as protective factors against POSS. Additional factors were reported but do require further analyses to determine their prognostic value.DiscussionAvailable evidence pointed to male sex and increased age as probable protective factors against POSS after ARCR. To establish a reliable pre-specified set of factors for clinical prediction models, our review results require complementation with an expert's opinion.

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An Intra-articular Steroid Injection at 6 Weeks Postoperatively for Shoulder Stiffness After Arthroscopic Rotator Cuff Repair Does Not Affect Repair Integrity

Abstract: An intra-articular steroid injection administered at 6 weeks postoperatively for shoulder stiffness after arthroscopic rotator cuff repair may be effective for reducing patients' pain and improving shoulder ROM at 3 months postoperatively without compromising repair integrity.

Cited by 32 publications

References 47 publications

Safety and Effectiveness of Intra-articular Corticosteroid Injection Following Arthroscopic Shoulder Surgery

Safety and Effectiveness of Intra-articular Corticosteroid Injection Following Arthroscopic Shoulder Surgery

Kronik Subakromiyal İmpingementli Hastalarda İntraoperatif Yapılan Steroidin Tedaviye Etkisi

Prognostic Factors for the Occurrence of Post-Operative Shoulder Stiffness After Arthroscopic Rotator Cuff Repair: A Systematic Review

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