The Painful Shoulder

Richardson, A. T.

doi:10.1177/003591577506801137

Cited by 8 publications

(4 citation statements)

References 10 publications

(5 reference statements)

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“…The full-text versions of 21 studies were retrieved for further screening and titles and abstracts were read. The following were excluded: 4 abstracts without enough information, 13,27,57,58 4 RCTs with patients with diseases other than FS, 1,37,39,54 and 3 studies with cointerventions other than physical exercise or analgesics. 40,44,51 Two studies were excluded because injection was performed in other locations.…”

Section: Resultsmentioning

confidence: 99%

Intra-articular Steroid Injection for Frozen Shoulder: A Systematic Review and Meta-analysis of Randomized Controlled Trials With Trial Sequential Analysis

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Intra-articular Steroid Injection for Frozen Shoulder: A Systematic Review and Meta-analysis of Randomized Controlled Trials With Trial Sequential Analysis

et al. 2016

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“…Thirty one out of 58 identified studies met our selection criteria 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34. A list of excluded studies is available from us.…”

Section: Resultsmentioning

confidence: 99%

“…The included studies assessed non-steroidal anti-inflammatory drugs (17 trials),4 5 6 7 8 10 11 12 13 16 17 18 19 22 26 29 33 intra-articular or subacromial glucocorticosteroid injection (10 trials),10 11 13 14 18 23 24 25 31 32 physiotherapy (5 trials),9 15 18 20 21 oral glucocorticosteroid treatment (2 trials),31 34 hydrodilatation (2 trials),24 32 and manipulation under anaesthesia (1 trial) 28. There were no randomised controlled trials of surgical interventions.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of randomised controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy

Green

Buchbinder

Glazier

et al. 1998

BMJ

291

197

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Objective: To review the efficacy of common interventions for shoulder pain. Design: All randomised controlled trials of non-steroidal anti-inflammatory drugs, intra-articular and subacromial glucocorticosteroid injection, oral glucocorticosteroid treatment, physiotherapy, manipulation under anaesthesia, hydrodilatation, and surgery for shoulder pain that were identified by computerised and hand searches of the literature and had a blinded assessment of outcome were included. Main outcome measures: Methodological quality (score out of 40), selection criteria, and outcome measures. Effect sizes were calculated and combined in a pooled analysis if study population, end point, and intervention were comparable. Results: Thirty one trials met inclusion criteria. Mean methodological quality score was 16.8 (9.5-22). Selection criteria varied widely, even for the same diagnostic label. There was no uniformity in the outcome measures used, and their measurement properties were rarely reported. Effect sizes for individual trials were small (range − 1.4 to 3.0). The results of only three studies investigating "rotator cuff tendinitis" could be pooled. The only positive finding was that subacromial steroid injection is better than placebo in improving the range of abduction (weighted difference between means 35°(95% confidence interval 14 to 55)). Conclusions: There is little evidence to support or refute the efficacy of common interventions for shoulder pain. As well as the need for further well designed clinical trials, more research is needed to establish a uniform method of defining shoulder disorders and developing outcome measures which are valid, reliable, and responsive in affected people.

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“…This difficulty in entering an arthritic glenohumeral joint is well appreciated by radiologists experienced in performing shoulder arthrography 17. In his study on local steroid placement Richardson commented that success in the accurate injection of the glenohumeral joint was achieved only “inconstantly” 13. Weiss and Ting failed to enter the glenohumeral joint successfully in eight of 66 attempted arthrograms despite having the benefit of fluoroscopic guidance 16.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the accuracy of steroid placement with clinical outcome in patients with shoulder symptoms

Eustace

Brophy

Gibney

et al. 1997

Annals of the Rheumatic Diseases

282

142

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Objective-To study the eVect of accuracy on the clinical outcome of local steroid injections to the shoulder. Methods-37 patients with shoulder symptoms of at least two months' duration received local injections of a mixture of triamcinolone and radiographic contrast material using a standardised technique. Radiographs of the joint were taken immediately afterwards. Details of the patients' symptoms (assessed by visual analogue scales) and range of movement at the joint were obtained before and two weeks after the injection. At follow up the patients were also assessed by means of a five point global rating scale of maximum and current benefit. Results-14 of the 38 procedures (37%) were judged to be accurately placed: four of the 14 attempted subacromial injections (29%) and 10 of the 24 attempted glenohumeral injections (42%). There were significant diVerences in relation to outcome between the accurately placed and the inaccurately placed groups. Conclusions-Accuracy of steroid placement by injection in patients with shoulder symptoms may significantly aVect the clinical outcome.

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The Painful Shoulder

Cited by 8 publications

References 10 publications

Intra-articular Steroid Injection for Frozen Shoulder: A Systematic Review and Meta-analysis of Randomized Controlled Trials With Trial Sequential Analysis

Intra-articular Steroid Injection for Frozen Shoulder: A Systematic Review and Meta-analysis of Randomized Controlled Trials With Trial Sequential Analysis

Systematic review of randomised controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy

Comparison of the accuracy of steroid placement with clinical outcome in patients with shoulder symptoms

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