Sodium hyaluronate injections compared to local modalities for the treatment of shoulder impingement syndrome/Omuz sikisma sendromu tedavisinde sodyum hiyaluronat enjeksiyonu ile lokal modalitelerin karsilastirilmasi

Objective: To determine and compare the efficacies of sodium hyaluronate injections and local modalities in patients with shoulder impingement syndrome. Materials and Methods: Patients (n=50) were treated with subacromial injections of sodium hyaluronate (n=25) once weekly for 3 weeks or a daily program of local modalities (n=25) for 2 weeks. Response to treatment was evaluated with the items of function in the Society of American Shoulder and Elbow Surgeons Basic Shoulder Evaluation Form and pain, activities of daily living and ranges of motion in the Constant-Murley Scale. Patients were questioned about night pain and their global impressions of the treatment. All outcome measures were assessed at baseline and weeks 1 and 5 after treatment. Results: Society of American Shoulder and Elbow Surgeons Basic Shoulder Evaluation Form and Constant-Murley Scale scores of both groups were significantly improved at week 1 and 5 compared to baseline (p0.05). Night pain was reduced effectively by both treatments, with no significant difference between the groups. The majority of patients reported that they benefited from the treatment and results were similar in both groups. No side effects were observed. Conclusion: Sodium hyaluronate injections and local modalities have been found to be similarly effective. Either one of these methods may be included in a treatment program for patients with shoulder impingement syndrome. Key Words: Shoulder, impingement, sodium hyaluronate, rehabilitation Amac: Omuz sikisma sendromlu hastalarda sodium hiyaluronat enjeksiyonu ile lokal modalitelerin etkinliklerini saptamak ve karsilastirmak. Gerec ve Yontem: Yirmibes hasta 3 hafta boyunca, her hafta 1 kez olmak uzere subakromial araliga sodyum hiyaluronat enjeksiyonu, 25 hasta ise 2 hafta sureyle lokal modalitelerin uygulandigi bir program ile tedavi edildiler. Tedaviye yanit, Society of American Shoulder and Elbow Surgeons Basic Shoulder Evaluation Form icindeki fonksiyon parametreleri ve Constant-Murley Skalasindaki agri, gunluk yasam aktiviteleri ve eklem hareket acikligi parametreleri ile degerlendirildi. Hastalar gece agrisi ve tedavi memnuniyeti acisindan sorgulandi. Tum parametreler tedavi baslangici, tedaviden sonra 1. ve 5. haftalarda degerlendirildi. Bulgular: Tedavi baslangicina gore 1. ve 5. haftalarda her iki grubun tum skorlari anlamli duzelmis bulundu (p