A Clinical Trial Comparing Subacromial Bursa Injection of Hyaluronic Acid to Steroid in Subacromial Impingement Syndrome

S.P.S. Gill
2019 International journal of orthopaedics traumatology and surgical sciences  
Objective: To evaluate the effects of subacromial bursa injection in subacromial impingement with hyaluronic acid and compare its outcome results with the corticosteroid. Method: A total of 88 patients with subacromial impingement were randomised to treatment with subacromial bursa injection, 44 patients underwent subacromial bursa injection with hyaluronic acid (Group A) and other 44 patients (Group B) treated with steroid. Patients were followed up for 24 weeks. Primary outcome was pain on
more » ... come was pain on Visual analogue scale (VAS)and secondary outcome measured was Constant Murley score. Result: Both the groups showed statistically significant improvement in VAS, Constant Murley score and shoulder movement range at 3rd week after the injection. However when comparing the extant of improvement of outcome measures at 24 weeks to the baseline in both groups, it was statistically not significant (P>0.05). Conclusion: The different outcome measures in both hyaluronic acid and steroid injections groups showed similar results, however steroids produces faster pain relieve compared to the hyaluronic acid.
doi:10.47618/ijotss/v5i2.16 fatcat:77hwkpehpzbttnppu5fznrs5ia