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The effects of scapulothoracic bursa injections in patients with scapular pain

CHANG WH; IM SH; RYU JA; LEE SC; KIM JS
ARCH PHYS MED REHABIL , 2009, vol. 90, n° 2, p. 279-284
Doc n°: 143854
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2008.07.027
Descripteurs : DD25 - PATHOLOGIE - CEINTURE SCAPULAIRE
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To assess the effects of steroid plus hyaluronate injections for
scapulothoracic bursitis in patients with scapular pain. DESIGN: Prospective
open-label unicenter trial with a 3-month follow-up. SETTING: University
rehabilitation hospital. PARTICIPANTS: Twenty-two cases of suspected
scapulothoracic bursitis. INTERVENTION: Injections into scapulothoracic bursa
were performed with steroid plus hyaluronate. Injections were administered once a
week for 3 weeks. MAIN OUTCOME MEASURES: Visual analog scale (VAS), Rubin scale,
adverse events, and injection-associated complications. RESULTS: Mean outcome
scores at 3-month follow-up visits showed significant improvements versus
baseline (mean VAS increased from 7.8 to 2.2) (P<.05). Furthermore, mean VAS
scores at 1, 2, and 3 weeks after treatment commencement showed significant
improvements versus baseline (P<.05). No serious complication occurred during the
study. CONCLUSIONS: Scapulothoracic bursitis should be considered when treating
patients with perimarginal scapular pain or subscapular pain. Our findings show
that steroid plus hyaluronate injections into the scapulothoracic bursa provide
an effective means of treating patients with scapulothoracic bursitis.

Langue : ANGLAIS

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