ĐÁNH GIÁ HIỆU QUẢ CỦA LIỆU PHÁP TIÊM CORTICOID DƯỚI HƯỚNG DẪN SIÊU ÂM TRONG ĐIỀU TRỊ VIÊM KHỚP CÙNG VAI ĐÒN

Abstract

Objectives: This study was conducted to evaluate the effectiveness of Corticosteroid injection therapy in the treatment of acromioclavicular joint arthritis under ultrasound guidance. Subjects and methods: A controlled clinical intervention study performed on the patients suffered from acromioclavicular joint arthritis, with VAS  score  ≥ 4 at the Centre Rheumatology of Bach Mai Hospital and Outpatient Department of Hanoi Medical University Hospital. The patients were treated with corticosteroid injections under ultrasound guidance and anti-inflammatory drugs and other were treated with oral anti-inflammatory drugs alone. Evaluation of the therapeutic effect of therapy by VAS scale, Shoulder Pain and Disability Index (SPADI) scores. Results: After 4 weeks of treatment, the mean VAS score of the study group decreased from 5.15 ± 0.73 to 0.69 ± 1.23, in which 96% of patients improved VAS score > 30%, the difference was statistically significant compared with the control group (p < 0,05). SPADI score in the study group decreased from 52.23 ± 8.05 to 22,92 ± 8.36 at 1 month after treatment, the good improvement was 65.4%, the difference was statistically significant compared with the control group (p < 0,05). The rate of pain increased after injection was 19.2%. Conclusion Corticosteroid injection therapy in the treatment of acromioclavicular joint arthritis under ultrasound guidance has reduced pain and improving shoulder mobility after 4 weeks of treatment.