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Combined bursal aspiration and corticosteroid injection for rotator cuff tear patients unresponsive to conservative management: Case report

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Author(s)
Dong Gyu LeeJang Hyuk Cho
Keimyung Author(s)
Cho, Jang Hyuk
Department
Dept. of Rehabilitation Medicine (재활의학)
Journal Title
Medicine
Issued Date
2020
Volume
99
Issue
34
Keyword
bursitisconservative treatmentrotator cuffshoulder pain
Abstract
Rationale:
Subacromial-subdeltoid (SASD) bursitis is characterized by bursal distension caused by fluid collection, commonly resulting from rotator cuff tears. Aspiration of the bursal fluid associated with rotator cuff tears tends to be overlooked. The effects of combined bursal aspiration and corticosteroid injection on full-thickness tears of the rotator cuff with SASD bursitis have not been previously reported.

Patient concerns:
We report the cases of 3 patients with shoulder pain caused by rotator cuff tears with marked amounts of fluid in the SASD bursa. The patients experienced intractable pain despite previous conservative management, including corticosteroid injection.

Diagnoses:
Physical examination and imaging studies revealed rotator cuff tears with remarkable quantities of fluid in the SASD bursa.

Interventions and outcomes:
The patients underwent ultrasound (US)-guided aspiration of the bursal fluid and intra-articular corticosteroid injection, following which, all patients experienced reduced shoulder pain for several months.

Lessons:
Combined aspiration of fluid in the SASD bursa and intra-articular corticosteroid injection in the rotator cuff tear is recommended, especially in cases with untreated shoulder pain unresponsive to previous conservative management.
Keimyung Author(s)(Kor)
조장혁
Publisher
School of Medicine (의과대학)
Citation
Dong Gyu Lee and Jang Hyuk Cho. (2020). Combined bursal aspiration and corticosteroid injection for rotator cuff tear patients unresponsive to conservative management: Case report. Medicine, 99(34), e21759. doi: 10.1097/MD.0000000000021759
Type
Article
ISSN
1536-5964
Source
https://journals.lww.com/md-journal/Fulltext/2020/08210/Combined_bursal_aspiration_and_corticosteroid.56.aspx
DOI
10.1097/MD.0000000000021759
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43242
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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