How periarticular corticosteroid injections impact the integrity of arthroscopic rotator cuff repair

Publication date: Available online 18 August 2020Source: Orthopaedics &Traumatology: Surgery &ResearchAuthor(s): Alan Perdreau, Christophe Duysens, Thierry Joudet
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research

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CONCLUSION: Moderate- to very-low-quality evidence suggests large effects of physiotherapy modalities plus exercise and suprascapular nerve block, and trivial to small effects for surgical interventions for improving shoulder pain in patients with diabetes. Future well-designed studies are needed to provide accurate estimates of the true effects of these interventions on improving shoulder pain in patients with diabetes. Implications For Rehabilitation Shoulder pain may lead to disability in patients with diabetes. We recommend the use of physiotherapy interventions to reduce shoulder pain. Corticosteroid injections are re...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
To synthesize the clinical outcome data of preoperative and postoperative corticosteroid injections (CIs) and their effect on rotator cuff repairs (RCRs).
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Systematic Review Source Type: research
To synthesize the clinical outcome data of pre-operative and post-operative corticosteroid injections and their effect on rotator cuff repairs.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Systematic Review Source Type: research
To determine the influence of corticosteroid injection (CSI) before or after primary rotator cuff repair (RCR) on the risk of (1) revision RCR, (2) retears, and (3) infections.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Systematic Review Source Type: research
Abstract Factors motivating patients to undergo rotator cuff repair (RCR) have not been thoroughly investigated. The purpose of this study was to investigate patient and surgeon decision-making factors for RCR, as well as the use of conservative treatment, and their relationship with shoulder function. A total of 144 adult patients undergoing arthroscopic RCR completed a 13-item questionnaire assessing the importance of surgical decision-making factors. Preoperative conservative treatments were also recorded. Surgeons also completed a similar 5-item questionnaire assessing surgeon decision-making factors preoperat...
Source: Orthopedics - Category: Orthopaedics Authors: Tags: Orthopedics Source Type: research
To assess adverse effects of pre-operative corticosteroid injections (CSIs) in patients with rotator cuff disease, especially prior to rotator cuff repair (RCR).
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Systematic Review Source Type: research
Authors: Tonotsuka H, Sugaya H, Takahashi N, Kawai N, Sugiyama H, Marumo K Abstract Background: The purpose of this study was to clarify the importance of preoperative pain control using corticosteroid injections in patients with persistent rest pain (RP) before arthroscopic rotator cuff repair (ARCR). Methods: A total of 360 patients (374 shoulders) who underwent primary ARCR and were followed up for at least 2 years were enrolled. After one-to-one propensity score matching, 266 patients (145 men and 128 women, 273 shoulders) were included in the study. Their mean age was 65.2 ± 7.7 years (range, 42 to ...
Source: Clinics in Orthopedic Surgery - Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research
MONDAY, April 22, 2019 -- For patients undergoing arthroscopic rotator cuff repair, corticosteroid injections within the previous month are associated with an increased risk for surgical site infection, according to a study published in the April 17...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
ConclusionsIntra-articular corticosteroids injection in the early postoperative period after arthroscopic rotator cuff repair provided satisfactory pain relief and ROM improvement without increasing the re-tear rate or deteriorating clinical outcomes at the 2-year follow-up.Level of evidenceIII.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Rotator cuff surgery should be delayed in patients receiving frequent or recent shoulder steroid injections. That said, success rates after rotator cuff surgery are high, and injection is but one of a number of factors associated with retear after rotator cuff repair.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Editorial Source Type: research
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