Subacromial Injection With Corticosteroid Versus Nonsteroidal Anti-inflammatory Drugs (NSAID) in Shoulder Impingement Syndrome

• Status: Withdrawn
• Trial end date: 2005-09-01
• Target enrollment: 0
• Participant gender: All

Summary

Injection with corticosteroid is one of the most common non-operative interventions in the treatment of subacromial impingement; however, its use is limited by its potential side effects (e.g. tendon rupture, subcutaneous atrophy, articular cartilage changes). The objective of this study was to compare the efficacy of subacromial injection of triamcinolone compared to injection of ketorolac. Thirty-two patients diagnosed with external shoulder impingement syndrome were included in this double-blinded randomized controlled clinical trial. Each patient was randomized into the Steroid group or NSAID group.

• Phase: N/A
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Madigan Army Medical Center
• Treatments: Anti-Inflammatory Agents, Non-Steroidal; Ketorolac; Ketorolac Tromethamine; Triamcinolone; Triamcinolone Acetonide; Triamcinolone diacetate; Triamcinolone hexacetonide

Criteria

Inclusion Criteria:

1. Shoulder pain characteristic of subacromial impingement syndrome with passive and/or active abduction in the 60-120 arc of motion (positive impingement sign)

2. Diagnosis of subacromial bursitis based on tenderness to palpation anterior/lateral to the acromion. Pain may be exacerbated with the shoulder held in internal rotation (positive Hawkins test)

Exclusion Criteria:

1. Age <18 years

2. Symptoms less than one month

3. Previous shoulder injections within the past 3 months

4. Evidence of os-acromiale or other confounding shoulder pathology on plain radiographs

5. Evidence of shoulder osteoarthritis

6. Full thickness rotator cuff tear evidenced by MRI, cuff weakness after lidocaine injection, or positive drop-arm sign

7. Systemic inflammatory condition

8. Pending litigation or work-related claims related to the shoulder

9. Previous shoulder surgery on the affected shoulder

10. Evidence of local infection

11. Evidence of adhesive capsulitis

12. Previous history of gastrointestinal ulcers or bleeding disorders

13. Evidence of shoulder instability