KẾT QUẢ ĐIỀU TRỊ HỘI CHỨNG CHÈN ÉP KHOANG DƯỚI MỎM CÙNG VAI BẰNG TIÊM CORTICOSTEROID DƯỚI HƯỚNG DẪN SIÊU ÂM

Abstract

Objectives: To evaluate the results of treatment of subacromial impingement syndrome with corticosteroid injection under ultrasound guidance and to comment on some undesirable effects of the therapy. Methods: Interventional study longitudinal follow-up 29 patients with 34 injured shoulder joints, diagnosed with subacromial impingement syndrome and received 1 injection of Methylprednisolone acetate 40mg (Depomedrol 40mg) into the subacromial bursa under ultrasound guidance. Results: After 4 weeks of treatment, there was an improvement in VAS, EFA and shoulder angle. Assessed at the time of injection and 4 weeks after injection, the average VAS decreased from 6.67 ± 0.84 points to 2.08 ± 1.31 points. The mean EFA score and shoulder angle angle increased respectively from 9.73 ± 1.54 points to 15.30 ± 1.64 points and from 63.08 ± 14.30 degrees to 116.32 ± 16.84 degrees. The difference before and after treatment was statistically significant with p<0.05. An undesirable effect encountered during treatment is increased pain at the injection site. There were 12 shoulder joints out of 34 shoulder joints, accounting for 35.29% of the increased pain at the injection site after 24 hours. There were no cases of headache, dizziness, shock, hot flushes and local infection after injection. Conclusions: Treatment of subacromial impingement syndrome by corticosteroid injection under ultrasound guidance achieved good results and was a safe therapy, with few undesirable effects.