Back to Search
Start Over
Intra-articular versus periarticular acromioclavicular joint injection: a multicenter, prospective, randomized, controlled trial.
- Source :
-
Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2013 Dec; Vol. 29 (12), pp. 1903-10. Date of Electronic Publication: 2013 Oct 18. - Publication Year :
- 2013
-
Abstract
- Purpose: The purpose of this randomized study was to compare the clinical efficacy of intra-articular versus periarticular acromioclavicular joint injections.<br />Methods: In this multicenter, prospective, randomized, controlled trial, 101 patients (106 shoulders) with symptomatic acromioclavicular joints were treated with an injection and were randomly assigned to either the intra-articular group or the periarticular group. To ensure accurate needle placement either intra-articularly or in a periarticular manner, the needle was placed under ultrasound guidance. Baseline values including the Constant-Murley score, pain assessment with a visual analog scale for pain under local pressure and pain at night, and the crossover arm test were investigated in 7 different centers immediately before treatment. Follow-up examinations were scheduled after 1 hour, 1 week, and 3 weeks.<br />Results: All patients completed the study. Overall, a highly significant clinical improvement in all tested variables and in both groups was observed over time (P < .0001) beginning with 1 hour after treatment and lasting for the entire follow-up period of 3 weeks. The difference between the 2 groups was not significant except regarding the crossover arm test (P < .016).<br />Conclusions: With both injection techniques, a highly significant clinical advantage for the patient can be achieved. The difference between the 2 treatments was not significant except for more pain reduction according to the crossover arm test after intra-articular injection at 3 weeks' follow-up.<br />Level of Evidence: Level II, multicenter, randomized, prospective, controlled trial.<br /> (Copyright © 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Arthralgia diagnosis
Arthralgia etiology
Arthralgia prevention & control
Female
Hematoma etiology
Humans
Injections, Intra-Articular adverse effects
Male
Middle Aged
Pain Measurement
Prospective Studies
Range of Motion, Articular
Treatment Outcome
Acromioclavicular Joint physiopathology
Injections, Intra-Articular methods
Osteoarthritis drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1526-3231
- Volume :
- 29
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
- Publication Type :
- Academic Journal
- Accession number :
- 24140142
- Full Text :
- https://doi.org/10.1016/j.arthro.2013.08.027