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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

  • Musculoskeletal
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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

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Author information

Authors and Affiliations

  1. Department of Radiology, National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132, Genoa, Italy

    Alberto Tagliafico

  2. Radiology Department, Santa Corona Hospital, Pietra Ligure, Italy

    Giovanni Serafini, Francesca Lacelli, Nadia Perrone & Giulia Succio

  3. Radiology Department, IRCCS San Donato Milanese, Milan, Italy

    Luca Maria Sconfienza

  4. Radiology Department, Università di Genova, Genoa, Italy

    Carlo Martinoli

Authors
  1. Alberto Tagliafico
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  2. Giovanni Serafini
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  3. Luca Maria Sconfienza
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  4. Francesca Lacelli
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  5. Nadia Perrone
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  6. Giulia Succio
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  7. Carlo Martinoli
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Corresponding author

Correspondence to Alberto Tagliafico.

Additional information

A. Tagliafico and G. Serafini contributed equally to this work.

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Tagliafico, A., Serafini, G., Sconfienza, L.M. et al. 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. Eur Radiol 21, 182–187 (2011). https://doi.org/10.1007/s00330-010-1894-4

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  • DOI: https://doi.org/10.1007/s00330-010-1894-4

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