Next Article in Journal
Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015
Next Article in Special Issue
Scapulothoracic Alignment Alterations in Patients with Walch Type B Osteoarthritis: An In Vivo Dynamic Analysis and Prospective Comparative Study
Previous Article in Journal
The Role of Methemoglobin and Carboxyhemoglobin in COVID-19: A Review
Previous Article in Special Issue
Lateral Acromioplasty has a Positive Impact on Rotator Cuff Repair in Patients with a Critical Shoulder Angle Greater than 35 Degrees
 
 
Review

The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review

1
Department of Orthopaedics and Traumatology, Catholic University, Agostino Gemelli Hospital, 00164 Rome, Italy
2
Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo 200, 00128 Rome, Italy
3
Department of Orthopaedic and Trauma Surgery, San Pietro Fatebenefratelli Hospital, 00189 Rome, Italy
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2021, 10(1), 51; https://doi.org/10.3390/jcm10010051
Received: 31 October 2020 / Revised: 14 December 2020 / Accepted: 21 December 2020 / Published: 25 December 2020
(1) Background: Even though rotator cuff tears are the most frequent tendon injuries in adults, the effectiveness of conservatively treated partial-thickness tears still remains a matter of debate. The purpose of this review is to compare corticosteroid injections to other drugs in the treatment of partial rotator cuff tears, focusing on the effectiveness of this therapeutic modality in terms of pain and shoulder functionality. (2) Methods: A systematic electronic search was performed using the PubMed (MEDLINE), EMBASE and Cochrane Library databases. All studies comparing the use of corticosteroids and other infiltrative techniques in the treatment of partial lesions (excluding studies that considered subacromial impingement as inclusion criteria) were pooled, data were extracted and statistically analyzed. (3) Results: Nine studies were included in this systematic review. Those studies, composed by a total of 494 shoulders treated, have been published from 1985 to 2019. All compared techniques have shown a significant improvement over baseline condition. PRP (Platelet Rich Plasma) injections have been shown to be significantly more effective in both functional and pain control only in the long term. (4) Conclusions: None of the techniques prevail indisputably on the others. Anyway, the treatment of partial rotator cuff tears with PRP injections seems to lead to significantly better outcomes in terms of pain and shoulder function in long term follow up. Whereas in short and medium term follow up, PRP injections was superior only in terms of shoulder function. The small number of studies on prolotherapy did not enable us to provide an opinion on the outcomes of this technique. View Full-Text
Keywords: rotator cuff tear; conservative treatment; injections; corticosteroids rotator cuff tear; conservative treatment; injections; corticosteroids
Show Figures

Figure 1

MDPI and ACS Style

Giovannetti de Sanctis, E.; Franceschetti, E.; De Dona, F.; Palumbo, A.; Paciotti, M.; Franceschi, F. The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review. J. Clin. Med. 2021, 10, 51. https://doi.org/10.3390/jcm10010051

AMA Style

Giovannetti de Sanctis E, Franceschetti E, De Dona F, Palumbo A, Paciotti M, Franceschi F. The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review. Journal of Clinical Medicine. 2021; 10(1):51. https://doi.org/10.3390/jcm10010051

Chicago/Turabian Style

Giovannetti de Sanctis, Edoardo, Edoardo Franceschetti, Ferdinando De Dona, Alessio Palumbo, Michele Paciotti, and Francesco Franceschi. 2021. "The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review" Journal of Clinical Medicine 10, no. 1: 51. https://doi.org/10.3390/jcm10010051

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop