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European Radiology
Published in: European Radiology 1/2011

01-01-2011 | Musculoskeletal

Ultrasound-guided viscosupplementation of subacromial space in elderly patients with cuff tear arthropathy using a high weight hyaluronic acid: prospective open-label non-randomized trial

Authors: Alberto Tagliafico, Giovanni Serafini, Luca Maria Sconfienza, Francesca Lacelli, Nadia Perrone, Giulia Succio, Carlo Martinoli

Published in: European Radiology | Issue 1/2011

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Abstract

Objective

To assess if ultrasound (US)-guided viscosupplementation can reduce pain and improve function in elderly patients with cuff tear arthropathy.

Patients and methods

Ninety-three patients aged over 65 with grade 3 or above cuff tear arthropathy were included in this prospective open-label non-randomized trial. Institutional review board approval and informed consent were obtained. Thirty-three patients received intra-articular injections of sodium hyaluronate under US guidance. Sixty patients constituted the control group. Shoulder joint function was assessed with Constant scores (CS) and pain with a visual analogue scale (VAS).

Results

Compared with controls, treated patients reported a significant decrease in symptoms at 1 (mean CS 66 ± 3.1 vs 37 ± 6.9; mean VAS 1.9 ± 1.2 vs 6.9 ± 2.2), 2 (mean CS 65 ± 3.2 vs 35 ± 7.2; mean VAS 1.7 ± 1.2 vs 6.8 ± 2.5), 3 (mean CS 66 ± 3.4 vs 33 6.1; mean VAS 2.3 ± 1.2 vs 6.6 ± 1.9), and 4 (mean CS 62 ± 3.0 vs 34 ± 6.5; mean VAS 3.3 ± 1.4 vs 7.8 ± 3.1) months, p < 0.001. After 5 months there were no differences.

Conclusion

US-guided viscosupplementation is a beneficial therapeutic option in the first months of treatment
Appendix
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Metadata
Title
Ultrasound-guided viscosupplementation of subacromial space in elderly patients with cuff tear arthropathy using a high weight hyaluronic acid: prospective open-label non-randomized trial
Authors
Alberto Tagliafico
Giovanni Serafini
Luca Maria Sconfienza
Francesca Lacelli
Nadia Perrone
Giulia Succio
Carlo Martinoli
Publication date
01-01-2011
Publisher
Springer-Verlag
Published in
European Radiology / Issue 1/2011
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-010-1894-4

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