A RETROSPECTIVE STUDY TO ASSESS THE FUNCTIONAL OUTCOME OF ROTATOR CUFF PATHOLOGY MANAGED BY STEROID INJECTIONS

Ajrawat S; Dr. Prabhjot Kaur

Volume : VIII, Issue : II, February - 2019

A RETROSPECTIVE STUDY TO ASSESS THE FUNCTIONAL OUTCOME OF ROTATOR CUFF PATHOLOGY MANAGED BY STEROID INJECTIONS

Ajrawat S, Dr. Prabhjot Kaur

Abstract :

Introduction: The present study aimed to assess functional outcome of rotator cuff pathology managed by steroid injections and to assess its associated complications. Materials & Methods: The study is a clinical, retrospective and observational study. A total of 50 patients who had undergone subacromial steroid injection for rotator cuff pathologies were included in this study. Data was collected from case sheets. Total duration of follow up was 6 months. While Clinical evaluation was done by SPADI scoring system. Data was analyzed by SPSS ver. 21.0 software. Results: Immediate Reduction in pain after steroid injection was seen in 74% cases while 26% cases had no reduction of pain. Significant reduction in pain during rest and activity was seen in cases at 6 weeks from baseline, which was maintained till 6 months (p<0.05). On clinical evaluation, a significant improvement was observed as per SPADI score, with scores at baseline was 59.4%, which improved to 84.6% at 6 weeks and to 89.3% at 6 months (p<0.05 for each follow up) (Table 3). Recurrence of pain was noted in 6 (12.0%) cases while re–tear rate in present study was 2 (4%) cases. As per patient’s subjective assessment, 60% experienced good response after steroid injection while some improvement in symptoms was experienced in 28% cases. A total of 6 cases (12%) experienced no improvement after steroid injection. Conclusion: Subacromial injection of corticosteroids is an effective short–term therapy for the treatment of symptomatic rotator cuff. The use of such injections can substantially decrease pain and increase the range of motion of the shoulder. The incidence and severity of side–effects was also low