Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Effects of glenohumeral corticosteroid injection on stiffness following arthroscopic rotator cuff repair: a prospective, multicentric, case-control study with 18-month follow-up

  • Amyn M. Rajani (Department of Orthopaedics, Breach Candy Hospital) ;
  • Urvil A Shah (Department of Orthopaedics, Surgikids Hospital) ;
  • Anmol RS Mittal (Department of Orthopaedics, OAKS Clinic) ;
  • Sheetal Gupta (Department of Orthopaedics, Galaxy Hospital) ;
  • Rajesh Garg (Department of Orthopaedics, Canadian Hospital) ;
  • Alisha A. Rajani (Department of Radiodiagnosis, OAKS Clinic) ;
  • Gautam Shetty (Department of Orthopaedics, Knee and Orthopaedic Clinic) ;
  • Meenakshi Punamiya (Department of Physical Therapy and Rehabilitation) ;
  • Richa Singhal (Department of Biostatistics, OAKS Clinic)
  • Received : 2022.09.25
  • Accepted : 2022.12.05
  • Published : 2023.03.01
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Abstract

Background: This study aimed to analyze the efficacy of single-dose corticosteroid injection (CSI) administered at 6 weeks postoperative to treat stiffness following arthroscopic rotator cuff repair (ARCR). Methods: In this prospective, multicentric, case-control study, post-ARCR stiffness at 6 weeks was treated with either a single dose of intra-articular CSI (CSI group) or physical therapy with oral analgesics (non-CSI group). Pain intensity according to visual analog scale (VAS), functional outcome using the Constant Murley Shoulder Score, time to return to activities of daily living (ADLs), and retear rate were recorded at 6 weeks, 9 weeks, 12 weeks, 6 months, 12 months, and 18 months postoperatively in both groups. Results: A total of 149 patients (54.5%) in the CSI group and 124 patients (45.5%) in the non-CSI group were included in this study. Pain and function were significantly better in the CSI group at 9-week, 12-week, and 6-month (P<0.001) follow-up, whereas they were not significantly different when the groups were compared at 12- and 18-month follow-up. The mean duration to return to ADLs was significantly shorter (P<0.001) in the CSI group. The incidence of retears was not significantly different (P=0.36) between groups at the end of 18 months of follow-up. Conclusions: Single-dose intra-articular CSI administered at 6 weeks postoperative to treat post-ARCR stiffness significantly improved pain, function, and duration of return to ADLs without increasing the risk of retears compared to patients who did not receive intra-articular CSI. Level of evidence: III.

Keywords

References

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