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Ann R Coll Surg Engl. 2009 Jul;91(5):414-6. doi: 10.1308/003588409X428261. Epub 2009 Apr 30.

Correlation between rotator cuff tears and repeated subacromial steroid injections: a case-controlled study.

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1
Department of Trauma and Orthopaedics, Maidstone District General Hospital, Maidstone, UK. maneeshbhatia@yahoo.com

Abstract

INTRODUCTION:

Concern exists regarding potential damage to the rotator cuff from repeated corticosteroid injections into the subacromial space.

PATIENTS AND METHODS:

In this retrospective, case-controlled study, 230 consecutive patients presenting to three orthopaedic units with subacromial impingement and investigated as an end-point with magnetic resonance imaging (MRI) of the shoulder were divided into groups having received less than three or three or more subacromial injections of corticosteroids.

RESULTS:

With no significant difference in age and sex distribution, analysis by MRI showed no significant difference between the two groups in the incidence of rotator cuff tear (P < 1.0).

CONCLUSIONS:

This suggests that corticosteroid use in patients with subacromial impingement should not be considered a causative factor in rotator cuff tears.

Comment in

PMID:
19409148
PMCID:
PMC2758443
DOI:
10.1308/003588409X428261
[Indexed for MEDLINE]
Free PMC Article
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