TY - JOUR
T1 - Pre-operative corticosteroid injections improve functional outcomes in patients undergoing arthroscopic repair of high-grade partial-thickness rotator cuff tears
AU - Donohue, Nicholas K.
AU - Prisco, Anthony R.
AU - Grindel, Steven I.
N1 - Publisher Copyright:
© 2017, CIC Edizioni Internazionali s.r.l. All rights reserved.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Background: Subacromial corticosteroid injections (CSI’s) are a common non-surgical treatment for rotator cuff tears. Few studies have assessed the effects of pre-operative CSI’s on postoperative functional outcomes. Methods: A retrospective analysis was conducted of 132 patients with high-grade, partial-thickness rotator cuff tears (PTRCT’s). The subjects were divided into two groups based on whether they received a CSI or not. The CSI group was further divided into three subgroups based on when they received a pre-operative injection: 0-3 months, 3-6 months, >6 months before surgery. The Visual Analog Scores (VAS), American Shoulder and Elbow Surgeon scores (ASES), and Constant scores were recorded prior to surgery and at a one-year post-operative follow-up appointment for each subject. Results: Patients who received a pre-operative CSI (n=92) improved significantly more than the non-injection group (n=40) in all outcome measures. The 0-3 months injection subgroup experienced a significant increase in ASES and Constant score (p=0.019 and 0.014, respectively) compared to the other two subgroups, but the VAS score decrease only trended toward significance (p=0.091). The sample as a whole experienced significant improvement in all three outcome measures. Conclusion: Patients undergoing arthroscopic repair of a high-grade PTRCT may benefit from a pre-operative CSI 0-3 months before surgery. Level of evidence: IIb.
AB - Background: Subacromial corticosteroid injections (CSI’s) are a common non-surgical treatment for rotator cuff tears. Few studies have assessed the effects of pre-operative CSI’s on postoperative functional outcomes. Methods: A retrospective analysis was conducted of 132 patients with high-grade, partial-thickness rotator cuff tears (PTRCT’s). The subjects were divided into two groups based on whether they received a CSI or not. The CSI group was further divided into three subgroups based on when they received a pre-operative injection: 0-3 months, 3-6 months, >6 months before surgery. The Visual Analog Scores (VAS), American Shoulder and Elbow Surgeon scores (ASES), and Constant scores were recorded prior to surgery and at a one-year post-operative follow-up appointment for each subject. Results: Patients who received a pre-operative CSI (n=92) improved significantly more than the non-injection group (n=40) in all outcome measures. The 0-3 months injection subgroup experienced a significant increase in ASES and Constant score (p=0.019 and 0.014, respectively) compared to the other two subgroups, but the VAS score decrease only trended toward significance (p=0.091). The sample as a whole experienced significant improvement in all three outcome measures. Conclusion: Patients undergoing arthroscopic repair of a high-grade PTRCT may benefit from a pre-operative CSI 0-3 months before surgery. Level of evidence: IIb.
KW - Arthroscopic repair
KW - Corticosteroid injection
KW - Partial-thickness rotator cuff tear
KW - Rotator cuff
KW - Subacromial injection
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U2 - 10.11138/mltj/2017.7.1.034
DO - 10.11138/mltj/2017.7.1.034
M3 - Article
C2 - 28717609
AN - SCOPUS:85019106209
SN - 2240-4554
VL - 7
SP - 34
EP - 39
JO - Muscles, Ligaments and Tendons Journal
JF - Muscles, Ligaments and Tendons Journal
IS - 1
ER -