| An Analysis of the Efficacy of Local Steroid Injections for the Treatment of Subacromial Impingement Syndrome |
| Seung Key Kim, Jong Beom Park, Young Seok Koh, Han Chang |
| Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu |
| 견봉하 충돌증후군의 치료에서 스테로이드 국소 주사의 효율성에 대한 분석 |
| 김승기, 박종범, 고영석, 장한 |
| 가톨릭대학교 의과대학 의정부성모병원 정형외과학교실 |
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| Abstract |
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From May 1994 to May 1995, we performed a prospective controlled double-blind
clinical study of 85 patients(85 shoulders). For inclusion in the study all patients met the
following criteria: 1 ) a diagnosis of impingement syndrome by lidocaine injection test:
2) symptoms for at least three months; 3) no previous subacromial injection; 4) no
evidence of rotator cuff tear. We excluded the patients from the study who showed a
instability or other clear primary cause. The patients were randomized to receive either
5cc 2% lidocaine with 4cc of 20mg/cc Depomedrol(Group 1) in 45 cases or 5 co 2%
lidocaine solely(Group 2) in 40 cases. At three month follow-up, all results were better
in steroid group than control group. But at one year, improvement of pain and daily
activity showed no difference between two groups. So we conclude that the use of
subacromial steroid injection is effective for short-term therapy in the treatment of
subacromial impingement syndrome, but the long-term effectiveness is doubtful.
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| Key Words:
Shoulder, Impingement syndrome, Steroid injection, |
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