Correlation between rotator cuff tears and repeated subacromial steroid injections: a case-controlled study
Concern exists regarding potential damage to the rotator cuff from repeated corticosteroid injections into the subacromial space. In this retrospective, case-controlled study, 230 consecutive patients presenting to three orthopaedic units with subacromial impingement and investigated as an end-point...
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Veröffentlicht in: | Annals of the Royal College of Surgeons of England 2009-07, Vol.91 (5), p.414-416 |
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creator | Bhatia, M Singh, B Nicolaou, N Ravikumar, K J |
description | Concern exists regarding potential damage to the rotator cuff from repeated corticosteroid injections into the subacromial space.
In this retrospective, case-controlled study, 230 consecutive patients presenting to three orthopaedic units with subacromial impingement and investigated as an end-point with magnetic resonance imaging (MRI) of the shoulder were divided into groups having received less than three or three or more subacromial injections of corticosteroids.
With no significant difference in age and sex distribution, analysis by MRI showed no significant difference between the two groups in the incidence of rotator cuff tear (P < 1.0).
This suggests that corticosteroid use in patients with subacromial impingement should not be considered a causative factor in rotator cuff tears. |
doi_str_mv | 10.1308/003588409X428261 |
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In this retrospective, case-controlled study, 230 consecutive patients presenting to three orthopaedic units with subacromial impingement and investigated as an end-point with magnetic resonance imaging (MRI) of the shoulder were divided into groups having received less than three or three or more subacromial injections of corticosteroids.
With no significant difference in age and sex distribution, analysis by MRI showed no significant difference between the two groups in the incidence of rotator cuff tear (P < 1.0).
This suggests that corticosteroid use in patients with subacromial impingement should not be considered a causative factor in rotator cuff tears.</description><identifier>ISSN: 0035-8843</identifier><identifier>EISSN: 1478-7083</identifier><identifier>DOI: 10.1308/003588409X428261</identifier><identifier>PMID: 19409148</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Accuracy ; Adrenal Cortex Hormones - administration & dosage ; Adrenal Cortex Hormones - adverse effects ; Adult ; Age ; Aged ; Arthritis ; Case-Control Studies ; Cell adhesion & migration ; Collagen ; Female ; Fibroblasts ; Humans ; Injections, Intra-Articular ; Magnetic Resonance Imaging ; Male ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Orthopaedics ; Pain ; Patients ; Rotator cuff ; Rotator Cuff - pathology ; Rotator Cuff Injuries ; Shoulder ; Shoulder Impingement Syndrome - drug therapy ; Shoulder Pain - drug therapy ; Trauma</subject><ispartof>Annals of the Royal College of Surgeons of England, 2009-07, Vol.91 (5), p.414-416</ispartof><rights>Copyright Royal College of Surgeons of England Jul 2009</rights><rights>Copyright © 2009 by the Annals of The Royal College of Surgeons of England</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-c78ad006c7fcce4c453d9ce4af14af473dad971c8fe5e7d5189ee41f8f9da5593</citedby><cites>FETCH-LOGICAL-c352t-c78ad006c7fcce4c453d9ce4af14af473dad971c8fe5e7d5189ee41f8f9da5593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2758443/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2758443/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19409148$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bhatia, M</creatorcontrib><creatorcontrib>Singh, B</creatorcontrib><creatorcontrib>Nicolaou, N</creatorcontrib><creatorcontrib>Ravikumar, K J</creatorcontrib><title>Correlation between rotator cuff tears and repeated subacromial steroid injections: a case-controlled study</title><title>Annals of the Royal College of Surgeons of England</title><addtitle>Ann R Coll Surg Engl</addtitle><description>Concern exists regarding potential damage to the rotator cuff from repeated corticosteroid injections into the subacromial space.
In this retrospective, case-controlled study, 230 consecutive patients presenting to three orthopaedic units with subacromial impingement and investigated as an end-point with magnetic resonance imaging (MRI) of the shoulder were divided into groups having received less than three or three or more subacromial injections of corticosteroids.
With no significant difference in age and sex distribution, analysis by MRI showed no significant difference between the two groups in the incidence of rotator cuff tear (P < 1.0).
This suggests that corticosteroid use in patients with subacromial impingement should not be considered a causative factor in rotator cuff tears.</description><subject>Accuracy</subject><subject>Adrenal Cortex Hormones - administration & dosage</subject><subject>Adrenal Cortex Hormones - adverse effects</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Arthritis</subject><subject>Case-Control Studies</subject><subject>Cell adhesion & migration</subject><subject>Collagen</subject><subject>Female</subject><subject>Fibroblasts</subject><subject>Humans</subject><subject>Injections, Intra-Articular</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Orthopaedics</subject><subject>Pain</subject><subject>Patients</subject><subject>Rotator cuff</subject><subject>Rotator Cuff - pathology</subject><subject>Rotator Cuff Injuries</subject><subject>Shoulder</subject><subject>Shoulder Impingement Syndrome - drug therapy</subject><subject>Shoulder Pain - drug therapy</subject><subject>Trauma</subject><issn>0035-8843</issn><issn>1478-7083</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdUU1rGzEQFaElcT7uPRVBz5tKKymSeigUk4-CoZcWehNjaZSsu165krYl_74yNv06DDPw5r15zCPkFWfXXDDzljGhjJHMfpW96W_4CVlwqU2nmREvyGIPdw0XZ-S8lA1j3GrDT8kZt43DpVmQb8uUM45QhzTRNdafiBPNqUJNmfo5RloRcqEwBZpxh1Ax0DKvwee0HWCkpWJOQ6DDtEG_VynvKFAPBTufpprTOO4ZdQ7Pl-RlhLHg1bFfkC93t5-XD93q0_3H5YdV54Xqa-e1gcDYjdfRe5ReKhFsGyDyVlKLAMFq7k1EhToobiyi5NFEG0ApKy7I-4Publ5vMXhsNmB0uzxsIT-7BIP7F5mGJ_eYfrheKyOlaAJvjgI5fZ-xVLdJc56aZ9f3TFvGlVFtix222itKyRh_X-DM7eNx_8fTKK__dvaHcMxD_AIvpo6-</recordid><startdate>200907</startdate><enddate>200907</enddate><creator>Bhatia, M</creator><creator>Singh, B</creator><creator>Nicolaou, N</creator><creator>Ravikumar, K J</creator><general>BMJ Publishing Group LTD</general><general>The Royal College of Surgeons of England</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>200907</creationdate><title>Correlation between rotator cuff tears and repeated subacromial steroid injections: a case-controlled study</title><author>Bhatia, M ; Singh, B ; Nicolaou, N ; Ravikumar, K J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-c78ad006c7fcce4c453d9ce4af14af473dad971c8fe5e7d5189ee41f8f9da5593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Accuracy</topic><topic>Adrenal Cortex Hormones - administration & dosage</topic><topic>Adrenal Cortex Hormones - adverse effects</topic><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Arthritis</topic><topic>Case-Control Studies</topic><topic>Cell adhesion & migration</topic><topic>Collagen</topic><topic>Female</topic><topic>Fibroblasts</topic><topic>Humans</topic><topic>Injections, Intra-Articular</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Orthopaedics</topic><topic>Pain</topic><topic>Patients</topic><topic>Rotator cuff</topic><topic>Rotator Cuff - pathology</topic><topic>Rotator Cuff Injuries</topic><topic>Shoulder</topic><topic>Shoulder Impingement Syndrome - drug therapy</topic><topic>Shoulder Pain - drug therapy</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bhatia, M</creatorcontrib><creatorcontrib>Singh, B</creatorcontrib><creatorcontrib>Nicolaou, N</creatorcontrib><creatorcontrib>Ravikumar, K J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of the Royal College of Surgeons of England</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bhatia, M</au><au>Singh, B</au><au>Nicolaou, N</au><au>Ravikumar, K J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation between rotator cuff tears and repeated subacromial steroid injections: a case-controlled study</atitle><jtitle>Annals of the Royal College of Surgeons of England</jtitle><addtitle>Ann R Coll Surg Engl</addtitle><date>2009-07</date><risdate>2009</risdate><volume>91</volume><issue>5</issue><spage>414</spage><epage>416</epage><pages>414-416</pages><issn>0035-8843</issn><eissn>1478-7083</eissn><abstract>Concern exists regarding potential damage to the rotator cuff from repeated corticosteroid injections into the subacromial space.
In this retrospective, case-controlled study, 230 consecutive patients presenting to three orthopaedic units with subacromial impingement and investigated as an end-point with magnetic resonance imaging (MRI) of the shoulder were divided into groups having received less than three or three or more subacromial injections of corticosteroids.
With no significant difference in age and sex distribution, analysis by MRI showed no significant difference between the two groups in the incidence of rotator cuff tear (P < 1.0).
This suggests that corticosteroid use in patients with subacromial impingement should not be considered a causative factor in rotator cuff tears.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>19409148</pmid><doi>10.1308/003588409X428261</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Accuracy Adrenal Cortex Hormones - administration & dosage Adrenal Cortex Hormones - adverse effects Adult Age Aged Arthritis Case-Control Studies Cell adhesion & migration Collagen Female Fibroblasts Humans Injections, Intra-Articular Magnetic Resonance Imaging Male Middle Aged NMR Nuclear magnetic resonance Orthopaedics Pain Patients Rotator cuff Rotator Cuff - pathology Rotator Cuff Injuries Shoulder Shoulder Impingement Syndrome - drug therapy Shoulder Pain - drug therapy Trauma |
title | Correlation between rotator cuff tears and repeated subacromial steroid injections: a case-controlled study |
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