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Ultrasonography Guided Subacromial Sodium Hyaluronate Injection in Rotator Cuff Disease

Phase 2
Conditions
Subacromial Impingement Syndrome
Interventions
Drug: Normal saline
Registration Number
NCT01735058
Lead Sponsor
Isfahan University of Medical Sciences
Brief Summary

This study will be performed to examine the effect of ultrasound-guided subacromial sodium hyaluronate injection in patients with impingement syndrome without rotator cuff complete tear.

Detailed Description

Rotator cuff disease in particular is a common cause of shoulder pain and weakness and comprises a significant proportion of the musculoskeletal complaints presenting to primary care doctors. Ultrasound is a readily available and cheap modality for looking more specifically at the rotator cuff and surrounding structures. More recently, ultrasound guidance has become a commonly employed method to perform diagnostic or therapeutic interventions. Despite the long history and the fact that this is a common diagnosis made in clinical practice, the exact cause and best treatment for this condition still are being explored. Although there are a few high-quality studies demonstrating the efficacy of sodium hyaluronate injection for rotator cuff disease, this study will be performed to examine the effect of ultrasound-guided subacromial sodium hyaluronate injection in patients with impingement syndrome without rotator cuff complete tear.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
48
Inclusion Criteria
  • age >= 18 years
  • subacromial impingement syndrome
  • without a complete tear of rotator cuff
  • willingness to participate
Exclusion Criteria
  • had any rheumatic disease, glenohumeral osteoarthritis, full-thickness rotator cuff tears, fractures, diabetes mellitus, infections, or tumors.
  • had hypersensitivity to hyaluronate
  • had participated in any other study within 6 months
  • had received a subacromial injection within 8 weeks
  • were pregnant or planned to become pregnant
  • were at risk of complications of intra-articular injections such as patients who received anti-coagulant drugs.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Normal salineNormal salineUltrasound guided injection of normal saline
Sodium hyaluronateSodium HyaluronateUltrasound guided injection of sodium hyaluronate
Primary Outcome Measures
NameTimeMethod
Change from baseline in pain severity after 3 weeks.Up to 3 weeks

The pain score (100 mm Visual Analogue Score ) is evaluated before the first injection and one week after each injection up to 3rd week.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Rehabilitation, Alzahra Hospital

🇮🇷

Isfahan, Iran, Islamic Republic of

Department of Rehabilitation, Alzahra Hospital
🇮🇷Isfahan, Iran, Islamic Republic of
Alireza Moghtaderi, MD
Sub Investigator
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