Volume 22 Issue 3
Mar.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(3): 495-499
XU Qiong, WU Shan, DU Xin, TIAN Taotao, ZHANG Maoliang, DU Fenfei. Efficacy and risk factors of ultrasound-guided low-dose compound betamethasone injection on shoulder joint function in patients with rotator cuff injury[J]. Chinese Journal of General Practice, 2024, 22(3): 495-499. doi: 10.16766/j.cnki.issn.1674-4152.003434
Citation: XU Qiong, WU Shan, DU Xin, TIAN Taotao, ZHANG Maoliang, DU Fenfei. Efficacy and risk factors of ultrasound-guided low-dose compound betamethasone injection on shoulder joint function in patients with rotator cuff injury[J]. Chinese Journal of General Practice, 2024, 22(3): 495-499. doi: 10.16766/j.cnki.issn.1674-4152.003434
shu

Efficacy and risk factors of ultrasound-guided low-dose compound betamethasone injection on shoulder joint function in patients with rotator cuff injury

doi: 10.16766/j.cnki.issn.1674-4152.003434

  • Department of Rehabilitation, Dongyang People' s Hospital, Dongyang, Zhejiang 322100, China

Funds:

 2022ZH065

  • Received Date: 2023-09-18
    Available Online: 2024-05-27
    Abstract
  •   Objective   To explore the effect of ultrasound-guided low-dose compound betamethasone injection on shoulder joint function in patients with rotator cuff injuries, and to analyze the factors affecting its efficacy, to provide help for clinical improvement of the therapeutic effect of patients with rotator cuff injury.   Methods   A retrospective study was conducted to select the clinical data of 96 patients with rotator cuff injuries who were treated in Dongyang People' s Hospital from January 2022 to March 2023 as the study subjects. All patients were treated with an ultrasound-guided injection of low-dose betamethasone combined with ropivacaine. The pain level at different time points, shoulder joint function, upper limb motor ability, and daily living ability before treatment and 1 month after treatment were compared. The clinical efficacy of the patients was evaluated according to the Neer shoulder function score at 1 month of treatment. According to the score, the patients were divided into an excellent group and a poor group. The baseline data of patients were statistically analyzed, and binary logistic regression analysis was used to analyze the factors affecting the clinical efficacy of ultrasound-guided low-dose hormone injection in patients with rotator cuff injury.   Results   After 1 month of treatment, the excellent and good rate was 80.21% (77/96) evaluated by Neer score. The Neer scores at 1 month of treatment were higher than those before treatment (P<0.05). The VAS scores at 1 hour, 1 week, and 1 month after treatment were lower than those before treatment and showed a downward trend (P<0.05). The upper limb Fugl-Meyer functional score and Barthel index score of the patients at 1 month after treatment were higher than those before treatment (P<0.05). At 1 month of treatment, the active range of motion of shoulder joint mobility was higher than that before treatment (P<0.05). The results of binary logistic regression analysis showed that age ≥ 60 years old, labor intensity of grade Ⅲ-Ⅳ, and diabetes mellitus were risk factors affecting the clinical efficacy of patients with rotator cuff injury (OR>1, P<0.05).   Conclusion   Ultrasound-guided injections of low-dose betamethasone combined with ropivacaine can effectively improve shoulder joint function, upper limb movement, and daily living ability of patients with rotator cuff injuries. At the same time, age, labor intensity, and diabetes are closely related to the clinical efficacy of patients.

     

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    • References(19)
  • [1]
    WEBER S, CHAHAL J. Management of rotator cuff injuries[J]. J Am Acad Orthop Surg, 2020, 28(5): e193-e201. doi: 10.5435/JAAOS-D-19-00463
    [2]
    FRICH L H, FERNANDES L R, SCHRØDER H D, et al. The inflammatory response of the supraspinatus muscle in rotator cuff tear conditions[J]. J Shoulder Elbow Surg, 2021, 30(6): e261-e275. doi: 10.1016/j.jse.2020.08.028
    [3]
    ZHANG J, MAO H, GAO F, et al. Comparative study of ultrasonic-guided betamethasone local injection and extracorporeal shock wave therapy in post-stroke hemiplegic shoulder pain: a randomized clinical trial[J]. Front Neurol, 2023, 19(14): 1158500. DOI: 10.3389/fneur.2023.1158500.
    [4]
    WOHLRAB P, BOEHME S, KAUN C, et al. Ropivacaine activates multiple proapoptotic and inflammatory signaling pathways that might subsume to trigger epidural-related maternal fever[J]. Anesth Analg, 2020, 130(2): 321-331. doi: 10.1213/ANE.0000000000004402
    [5]
    张洋, 黄磊, 刘汉波. 体力劳动强度的评价方法研究进展[J]. 中华劳动卫生职业病杂志, 2019, 37(4): 317-320. doi: 10.3760/cma.j.issn.1001-9391.2019.04.020

    ZHANG Y, HUANG L, LIU H B. Reseach progress on evaluating methods of physical labor load[J]. Chinese Journal of Industrial Hygiene and Occupational Diseases, 2019, 37(4): 317-320. doi: 10.3760/cma.j.issn.1001-9391.2019.04.020
    [6]
    铁楷, 陈彪, 杨旭, 等. 关于《美国骨科医师协会肩袖损伤临床指南(2019)》中不可修复肩袖撕裂的认识[J]. 临床外科杂志, 2021, 29(4): 310-313. doi: 10.3969/j.issn.1005-6483.2021.04.003

    TIE K, CHEN B, YANG X, et al. Understanding of non-repairable rotator cuff tears in "American academy of orthopaedic surgeons clinical guidelines for rotator cuff injuries(2019)"[J]. Journal of Clinical Surgery, 2021, 29(4): 310-313. doi: 10.3969/j.issn.1005-6483.2021.04.003
    [7]
    SWEENEY F C, DEMARK-WAHNEFRIED W, COURNEYA K S, et al. Aerobic and resistance exercise improves shoulder function in women who are overweight or obese and have breast cancer: a randomized controlled trial[J]. Phys Ther, 2019, 99(10): 1334-1345. doi: 10.1093/ptj/pzz096
    [8]
    SUNG Y T, WU J S. The visual analogue scale for rating, ranking and paired-comparison (vas-rrp): a new technique for psychological measurement[J]. Behav Res Methods, 2018, 50(4): 1694-1715. doi: 10.3758/s13428-018-1041-8
    [9]
    SINGER B, GARCIA-VEGA J. The fugl-meyer upper extremity scale[J]. J Physiother, 2017, 63(1): 53. doi: 10.1016/j.jphys.2016.08.010
    [10]
    LIU F, TSANG R C, ZHOU J, et al. Relationship of barthel index and its short form with the modified rankin scale in acute stroke patients[J]. J Stroke Cerebrovasc Dis, 2020, 29(9): 105033. DOI: 10.1016/j.jstrokecerebrovasdis.2020.105033.
    [11]
    LAPNER P, LI A, POLLOCK J W, et al. A multicenter randomized controlled trial comparing single-row with double-row fixation in arthroscopic rotator cuff repair: long-term follow-up[J]. Am J Sports Med, 2021, 49(11): 3021-3029. doi: 10.1177/03635465211029029
    [12]
    BARAD S J. Response to liu and amin regarding: "Severe subacromial-subdeltoid inflammation with rice bodies associated with implantation of a bio-inductive collagen scaffold after rotator cuff repair"[J]. J Shoulder Elbow Surg, 2020, 29(3): e95. DOI: 10.1016/j.jse.2019.07.046.
    [13]
    DA H, SONG J K, LIU L, et al. Compound betamethasone in the treatment of pain after supraspinatus tendon repair[J]. J Int Med Res, 2022, 50(9): 3000605221121962. DOI: 10.1177/03000605221121962.
    [14]
    盛静, 闫应朝, 孙瑜, 等. 丁丙诺啡透皮贴剂在肩关节镜下肩袖修补术后的镇痛效果及安全性[J]. 中华全科医学, 2021, 19(3): 398-401. doi: 10.16766/j.cnki.issn.1674-4152.001820

    SHENG J, YAN Y C, SUN Y, et al. The efficacy and safety of transdermal buprenorphine patch for postoperative analgesia after arthroscopic rotator cuff repair[J]. Chinese Journal of General Practice, 2021, 19(3): 398-401. doi: 10.16766/j.cnki.issn.1674-4152.001820
    [15]
    TORRES-LOAIZA J W, VELASCO A, VILLEGAS R, et al. Massive rotator cuff injury: arthroscopic treatment with upper capsular reconstruction[J]. Acta Ortop Mex, 2020, 34(4): 228-233. doi: 10.35366/97556
    [16]
    陈俊吉, 高田糈, 刘晓龙, 等. 本体感觉神经肌肉易化训练对运动性肩袖损伤功能恢复的影响[J]. 医用生物力学, 2022, 37(1): 174-179. https://www.cnki.com.cn/Article/CJFDTOTAL-YISX202201027.htm

    CHEN J J, GAO T X, LIU X L, et al. Effects of PNF training on functional recovery of sports rotator cuff injury[J]. Journal of Medical Biomechanics, 2022, 37(1): 174-179. https://www.cnki.com.cn/Article/CJFDTOTAL-YISX202201027.htm
    [17]
    VANBAAK K, AERNI G. Shoulder conditions: rotator cuff injuries and bursitis[J]. FP Essent, 2020, 491: 11-16.
    [18]
    NICHOLS A E C, OH I, LOISELLE A E. Effects of type Ⅱ diabetes mellitus on tendon homeostasis and healing[J]. J Orthop Res, 2020, 38(1): 13-22. doi: 10.1002/jor.24388
    [19]
    CRAMER A, JACOBSEN N C, HANSEN M S, et al. Diabetes and treatment with orally administrated corticosteroids negatively affect treatment outcome at follow-up after acute achilles tendon rupture[J]. Knee Surg Sports Traumatol Arthrosc, 2021, 29(5): 1584-1592. doi: 10.1007/s00167-020-06371-0
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