Efficacy of Injections of Corticosteroids for Subacromial Impingement Syndrome*

Blair, Benjamin; Rokito, Andrew S.; Cuomo, Frances; Jarolem, Kenneth L.; Zuckerman, Joseph D.

doi:10.2106/00004623-199611000-00007

Cited by 215 publications

(69 citation statements)

References 24 publications

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“…After this systematic review, two other systematic reviews 115,116 were published. None of these three reviews included the RCTs of Van der Windt et al 117 , Winters et al 118 and Blair et al 119 Because the methods of these RCTs seem sound, they are summarized in Table 2.…”

Section: Steroid Injectionmentioning

confidence: 99%

Shoulder disorders: a state-of-the-art review

Heijden¹

1999

Best Practice & Research Clinical Rheumatology

257

154

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Section: Steroid Injectionmentioning

confidence: 99%

Shoulder disorders: a state-of-the-art review

Heijden¹

1999

Best Practice & Research Clinical Rheumatology

257

154

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“…P rimary care physicians are frequently exposed to musculoskeletal disorders such as knee osteoarthritis and shoulder impingement syndromes which can benefit from corticosteroid injections. 1,2 Despite the frequency of musculoskeletal complaints encountered in ambulatory clinics however, primary care physicians report low confidence in performing musculoskeletal examination or corticosteroid joint injection. In a survey of primary care physicians to determine the use and level of comfort in performing intra-articular injections, 95% of respondents regarded themselves inadequately trained and 89% referred patients to specialty clinics for corticosteroid injections.…”

mentioning

confidence: 99%

Musculoskeletal exam and joint injection training for internal medicine residents

et al. 2006

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We developed a musculoskeletal education intervention for internal medicine residents consisting of lectures, anatomic models, and a joint injection clinic. Written tests, observed musculoskeletal exams, and self-confidence scales were administered to 27 internal medicine residents before and after the intervention. Improvement was found in observed physical exam and self-reported confidence levels in performing knee injections. Confidence in shoulder injection skills improved, but remained low. Improved scores on written examination, though statistically significant, were not educationally significant. This single-institution pilot study demonstrates that a simple educational program results in improved knee and shoulder examination skills and confidence in performing knee injections.

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“…Although different measures of pain and function were used in different previ-ous studies of SIS where placebo or no intervention was compared with other interventions (30,48) , they suggest that pain associated with impingement does not spontaneously resolve and may even worsen slightly with no intervention or placebo. And without active intervention, shoulder function showed a decline in some studies (30,48) and did not improve in other (52) .…”

Section: Discussionmentioning

confidence: 95%

Effect of Exercise and Manual Physical Therapy on Shoulder Function Among Slaughterhouse Workers With Shoulder Impingement Syndrome.

El-Laithy¹,

El-Toukhy²,

Amar³

et al. 2007

Egypt. J. Occup. Med.

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This study was carried out in a slaughterhouse in Zagazig City during the year 2005-2006 among a group of 115 slaughterhouse workers selected randomly and performing sustained intensive manual work. Another group of 80 clerks working in Zagazig Faculty of medicine performing light manual work was selected randomly as a control group.The study was done in 2 stages : The 1st stage was a comparative cross-sectional study, aiming to determine the prevalence of shoulder impingement syndrome ( SIS) among the study workers.The 2nd stage was an intervention study, done to assess the effect of exercise and manual physical therapy program on shoulder function among workers with shoulder impingement syndrome. A total number of one-hundred and ninety five workers were interviewed using a preconstructed questionnaire. Those workers who had recurrent 144 El-Laithy N. et. al shoulder pain during the previous 3 months or more were subjected to standardized physical examination using impingement sign, assessment of shoulder function and magnetic resonance imaging to those clinically diagnosed as SIS. Also an intervention program of exercise and manual therapy for a period of 6-weeks was carried out to those workers with SIS.The results revealed that the prevalence of SIS was higher among the slaughterhouse workers (13.9 % ) compared to the control workers(2.5%). SIS symptoms and signs were more frequently recorded among the slaughterhouse workers when compared with the controls. Also among those currently complaining of SIS symptoms or those who has had SIS signs, only 15.6% and 2.5% have positive impingement sign among slaughterhouse workers and their controls respectively.The most reliable findings of magnetic resonance imaging were the presence of indentations upon the subacromial fat denoting impingement in 12 patients (66.7%), supraspinatus tendonitis with indentation upon subacromial fat denoting impingement in 4 patients (22.2%) & left supraspinatus tear in 2 patients (11.1%) from 18 slaughterhouse workers diagnosed clinically as SIS and supraspinatus tendonitis with impingement in 2 patients (100.0%) from the control group with a total percentage of 13.9% and 2.5% workers with SIS among slaughterhouse workers and their controls respectively. Studying some personal and occupational factors thought to be related to the prevalence of SIS revealed that, SIS was prevalent in middle aged workers who smoke and were worked in the current occupation for more than ten years.The results of the intervention program illustrated that there were significant improvement in range of motion, pain, strength and function of the shoulder in workers with SIS after 6-weeks of exercise and manual physical therapy program.In conclusion, sustained intensive manual work such as in slaughterhouse workers was associated with high frequency of SIS. A 6 week exercise with manual physical therapy program in patients with SIS was resulted in improvement of range of motion, pain and function of the shoulder. So, work organization especially reduction of e...

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Efficacy of Injections of Corticosteroids for Subacromial Impingement Syndrome*

Cited by 215 publications

References 24 publications

Shoulder disorders: a state-of-the-art review

Shoulder disorders: a state-of-the-art review

Musculoskeletal exam and joint injection training for internal medicine residents

Effect of Exercise and Manual Physical Therapy on Shoulder Function Among Slaughterhouse Workers With Shoulder Impingement Syndrome.

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