Ultrasound-guided viscosupplementation of subacromial space in elderly patients with cuff tear arthropathy using a high weight hyaluronic acid: prospective open-label non-randomized trial
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Alberto Tagliafico Giovanni Serafini Luca Maria Sconfienza Francesca Lacelli Nadia Perrone Giulia Succio Carlo Martinoli
- چاپ و سال / کشور: 2010
Description
Objective To assess if ultrasound (US)-guided viscosupplementation can reduce pain and improve function in elderly patients with cuff tear arthropathy. Patients and methods Ninety-three patients aged over 65 with grade 3 or above cuff tear arthropathy were included in this prospective openlabel non-randomized trial. Institutional review board approval and informed consent were obtained. Thirty-three patients received intraarticular injections of sodium hyaluronate under US guidance. Sixty patients constituted the control group. Shoulder joint function was assessed with Constant scores (CS) and pain with a visual analogue scale (VAS). Results Compared with controls, treated patients reported a significant decrease in symptoms at 1 (mean CS 66±3.1 vs 37±6.9; mean VAS 1.9±1.2 vs 6.9±2.2), 2 (mean CS 65±3.2 vs 35±7.2; mean VAS 1.7±1.2 vs 6.8±2.5), 3 (mean CS 66±3.4 vs 33 6.1; mean VAS 2.3±1.2 vs 6.6±1.9), and 4 (mean CS 62±3.0 vs 34±6.5; mean VAS 3.3±1.4 vs 7.8±3.1) months, p<0.001. After 5months there were no differences. Conclusion US-guided viscosupplementation is a beneficial therapeutic option in the first months of treatment
Eur Radiol (2011) 21: 182–187 DOI 10.1007/s00330-010-1894-4 Received: 14 May 2010/ Revised: 15 June 2010/ Accepted: 24 June 2010/ Published online: 25 July 2010
