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

Alberto Tagliafico, Giovanni Serafini, Luca Maria Sconfienza, Francesca Lacelli, Nadia Perrone, Giulia Succio, Carlo Martinoli

Research output: Contribution to journalArticle

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∈

Original languageEnglish
Pages (from-to)182-187
Number of pages6
JournalEuropean Radiology
Volume21
Issue number1
DOIs
Publication statusPublished - Jan 2011

Keywords

  • Cuff tear arthropathy
  • Elderly
  • Hyaluronic acid
  • Ultrasound
  • Viscosupplementation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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