A Randomized Comparative Cohort Study of the Use of Intra-articular Corticosteroid Injection Compared to Suprascapular Nerve Block for Treatment of Shoulder Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Glenohumeral Arthritis
- Sponsor
- University of Minnesota
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- change in visual analog scale (VAS) for pain
- Status
- Recruiting
- Last Updated
- 3 months ago
Overview
Brief Summary
The purpose of this study is to evaluate conservative pain relief measures for patients suffering from glenohumeral arthritis or rotator cuff arthropathy. Conservative management of osteoarthritis is often first line treatment, and while a corticosteroid injection is frequently used, suprascapular nerve blocks have not often been described as an analgesic option in this population.
Investigators
Eligibility Criteria
Inclusion Criteria
- •diagnosis of glenohumeral osteoarthritis, rheumatoid arthritis, or rotator cuff arthropathy who are being offered injection
Exclusion Criteria
- •uncontrolled diabetes (patients will be excluded if no HbA1c within a year or if it is 8 or greater"
- •known allergy to steroid or anesthetic
- •pregnant women
- •prisoners
- •patients with diminished capacity to consent to participation
- •children under 18 years of age
- •non-English speakers
Outcomes
Primary Outcomes
change in visual analog scale (VAS) for pain
Time Frame: preintervention, 24 hours, 3 days, 1 month, and 3 months postintervention
a validated continuous scale assessment for pain
single assessment numerical evaluation (SANE) of the shoulder
Time Frame: preintervention, 24 hours, 3 days, 1 month, and 3 months postintervention
a validated tool providing a numerical score from 0-100 that assess shoulder function as subjectively reported by the subject. A higher score indicates superior shoulder function.
Oxford shoulder score (OSS)
Time Frame: preintervention, 24 hours, 3 days, 1 month, and 3 months postintervention
a validated patient-reported outcome measure used to assess shoulder pain and functional disability. Possible scores range from 0-48 with higher scores indicating superior better shoulder function.
American shoulder and elbow surgeons (ASES) score
Time Frame: preintervention, 24 hours, 3 days, 1 month, and 3 months postintervention
a validated survey with possible scores from 0-100 that assesses shoulder function as reported by the subject. A higher score indicates superior shoulder function.